MEDICARE: JOSEPH DABRINGER

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	183500000X	Pharmacist	PS61099	FL

General Provider Information

NPI Number	:	1679163182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH DABRINGER

Provider Business Mailing Address
First Line	:	2521 13TH ST
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34769-4119
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2521 13TH ST
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34769-4119
Country	:	US
Telephone Number	:	407-892-7166
Fax Number	:

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

Provider Enumeration Date	:	01/20/2021
Last Update Date	:	01/20/2021

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Directions to “ JOSEPH DABRINGER ” Practice Location

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