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NPI Code Detail

MEDICARE: PRISCILIANO REALES

MEDICARE: PRISCILIANO REALES
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
1183500000XPharmacistPS34675FL

General Provider Information

NPI Number : 1740885698
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRISCILIANO REALES
Provider Business Mailing Address
First Line : 1318 BANYAN WAY
Second Line :
City : WESTON
State : FL
Zip : 33327-1624
Country : US
Telephone Number : 954-240-5842
Fax Number :
Provider Business Practice Location Address
First Line : 2391 W 68TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33016-6816
Country : US
Telephone Number : 305-820-2122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2020
Last Update Date : 11/30/2020

Similar Medicare Providers

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1730783994 — JUDE OKECHUKWU EKWUNEZI
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Practice Location Address:
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Practice Fax:
1194320911 — CHARLENE MICHELLE LEWIS RPH
Practice Location Address:
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Directions to “ PRISCILIANO REALES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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