MEDICARE: GIULIA LOFFREDA-MANCINELLI

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	RP452285	PA

General Provider Information

NPI Number	:	1750090502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIULIA LOFFREDA-MANCINELLI

Provider Business Mailing Address
First Line	:	6210 LAKELAND HIGHLANDS RD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33813-3844
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6210 LAKELAND HIGHLANDS RD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33813-3844
Country	:	US
Telephone Number	:	863-647-3551
Fax Number	:

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

Provider Enumeration Date	:	11/21/2022
Last Update Date	:	11/21/2022

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