MEDICARE: HEMAL DESAI 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	PS50786	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PS50786	OTHER	FL	PHARMACIST LICENSE

General Provider Information

NPI Number	:	1881280006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEMAL DESAI PHARMD

Provider Business Mailing Address
First Line	:	11918 BAY OAK DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-9376
Country	:	US
Telephone Number	:	201-344-6411
Fax Number	:

Provider Business Practice Location Address
First Line	:	290 NICHOLAS PKWY NW STE 6
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-3804
Country	:	US
Telephone Number	:	239-471-0777
Fax Number	:

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

Provider Enumeration Date	:	12/13/2020
Last Update Date	:	10/01/2023

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Directions to “ HEMAL DESAI PHARMD” Practice Location

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