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NPI Code Detail

MEDICARE: ELEIN RAVELO PHARMD

MEDICARE: ELEIN RAVELO PHARMD
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
1183500000XPharmacistPS58356FL

General Provider Information

NPI Number : 1427648716
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELEIN RAVELO PHARMD
Provider Business Mailing Address
First Line : 12085 W HILLSBOROUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33635-9725
Country : US
Telephone Number : 813-852-5270
Fax Number :
Provider Business Practice Location Address
First Line : 12085 W HILLSBOROUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33635-9725
Country : US
Telephone Number : 813-852-5270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2021
Last Update Date : 01/21/2021

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Directions to “ ELEIN RAVELO PHARMD” Practice Location

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