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NPI Code Detail

MEDICARE: BYRON SKINNER II

MEDICARE: BYRON SKINNER II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS55309FL

General Provider Information

NPI Number : 1396299327
Entity Type Code : Individual
Provider Name (Legal Business Name) : BYRON SKINNER II
Provider Business Mailing Address
First Line : 5480 N UNIVERSITY DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-4603
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5480 N UNIVERSITY DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-4603
Country : US
Telephone Number : 954-275-0477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2016
Last Update Date : 08/08/2016

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Directions to “ BYRON SKINNER II ” Practice Location

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