MEDICARE: NADIA DIYALJEE 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
1	183500000X	Pharmacist	PS64607	FL

General Provider Information

NPI Number	:	1740111905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADIA DIYALJEE PHARMD

Provider Business Mailing Address
First Line	:	2422 CLIFFDALE ST
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-4771
Country	:	US
Telephone Number	:	407-748-7027
Fax Number	:

Provider Business Practice Location Address
First Line	:	10501 S ORANGE AVE STE 123
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32824-7749
Country	:	US
Telephone Number	:	407-992-8494
Fax Number	:

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

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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