MEDICARE: DARVI WAYNITA REDDING RPHT, CPHT

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	183700000X	Pharmacy Technician	10108	FL

General Provider Information

NPI Number	:	1922380146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARVI WAYNITA REDDING RPHT, CPHT

Provider Business Mailing Address
First Line	:	6416 OLD WINTER GARDEN RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-1348
Country	:	US
Telephone Number	:	888-872-8188
Fax Number	:	407-447-4268

Provider Business Practice Location Address
First Line	:	6416 OLD WINTER GARDEN RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-1348
Country	:	US
Telephone Number	:	888-872-8188
Fax Number	:	407-477-4268

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

Provider Enumeration Date	:	09/14/2011
Last Update Date	:	02/07/2013

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