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NPI Code Detail

MEDICARE: FRED CAZEAU PHARM.D.

MEDICARE: FRED CAZEAU PHARM.D.
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
1183500000XPharmacistP5782ID
2183500000XPharmacistPH00054809WA

General Provider Information

NPI Number : 1548592140
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRED CAZEAU PHARM.D.
Provider Business Mailing Address
First Line : 7780 N WICKHAM RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32940-8262
Country : US
Telephone Number : 321-254-1072
Fax Number :
Provider Business Practice Location Address
First Line : 3090 W NEW HAVEN AVE
Second Line :
City : MELBOURNE
State : FL
Zip : 32904-3658
Country : US
Telephone Number : 321-727-8453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2010
Last Update Date : 01/24/2023

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