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NPI Code Detail

MEDICARE: ISSA KHALIL

MEDICARE: ISSA KHALIL
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
1183500000XPharmacistPS59398FL

General Provider Information

NPI Number : 1881247062
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISSA KHALIL
Provider Business Mailing Address
First Line : 615 HARDWOOD CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32828-8292
Country : US
Telephone Number : 407-748-8400
Fax Number :
Provider Business Practice Location Address
First Line : 10615 NARCOOSSEE RD
Second Line :
City : ORLANDO
State : FL
Zip : 32832-6904
Country : US
Telephone Number : 407-277-1446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2019
Last Update Date : 07/17/2019

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Directions to “ ISSA KHALIL ” Practice Location

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