MEDICARE: NADER HALIM PS

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	63551	FL

General Provider Information

NPI Number	:	1720745649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADER HALIM PS

Provider Business Mailing Address
First Line	:	1816 SETON HALL WAY
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-6261
Country	:	US
Telephone Number	:	818-408-9787
Fax Number	:

Provider Business Practice Location Address
First Line	:	1816 SETON HALL WAY
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-6261
Country	:	US
Telephone Number	:	818-408-9787
Fax Number	:

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

Provider Enumeration Date	:	11/27/2021
Last Update Date	:	11/27/2021

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