MEDICARE: MRS. DANIKA FLORENCE PHARMACY OWNER

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
1	207QS1201X	Sleep Medicine (Family Medicine) Physician	PH34852	FL
2	1835P1200X	Pharmacotherapy Pharmacist	PH34852	FL

General Provider Information

NPI Number	:	1538903612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANIKA FLORENCE PHARMACY OWNER

Provider Business Mailing Address
First Line	:	8909 REGENTS PARK DR STE 420
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-3432
Country	:	US
Telephone Number	:	813-395-3878
Fax Number	:

Provider Business Practice Location Address
First Line	:	8909 REGENTS PARK DR STE 420
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-3432
Country	:	US
Telephone Number	:	813-399-5566
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2024
Last Update Date	:	06/24/2024

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