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NPI Code Detail

MEDICARE: DR. FIADORA SOPHIA BICE PHARMD

MEDICARE: DR. FIADORA SOPHIA BICE 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
1183500000XPharmacistPS42638FL

General Provider Information

NPI Number : 1790008746
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FIADORA SOPHIA BICE PHARMD
Provider Business Mailing Address
First Line : 6000 SEA GRASS LN
Second Line :
City : NAPLES
State : FL
Zip : 34116-5432
Country : US
Telephone Number : 941-284-1717
Fax Number :
Provider Business Practice Location Address
First Line : 6000 SEA GRASS LN
Second Line :
City : NAPLES
State : FL
Zip : 34116-5432
Country : US
Telephone Number : 941-284-1717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2010
Last Update Date : 02/19/2021

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