MEDICARE: JUAN NARANJO 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	PS59552	FL

General Provider Information

NPI Number	:	1871147587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN NARANJO PHARMD

Provider Business Mailing Address
First Line	:	10223 PALERMO CIR APT 103
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-5088
Country	:	US
Telephone Number	:	305-610-1954
Fax Number	:

Provider Business Practice Location Address
First Line	:	10015 N DALE MABRY HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-4409
Country	:	US
Telephone Number	:	813-392-4207
Fax Number	:

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

Provider Enumeration Date	:	07/31/2019
Last Update Date	:	07/31/2019

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