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NPI Code Detail

MEDICARE: STEPHANIE A RICCARDO PHARMD

MEDICARE: STEPHANIE A RICCARDO 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
1183500000XPharmacist053284-1NY
2183500000XPharmacistPS38736FL

General Provider Information

NPI Number : 1932421468
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE A RICCARDO PHARMD
Provider Business Mailing Address
First Line : 13900 COUNTY ROAD 455
Second Line :
City : CLERMONT
State : FL
Zip : 34711-9052
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13900 COUNTY ROAD 455
Second Line :
City : CLERMONT
State : FL
Zip : 34711-9052
Country : US
Telephone Number : 407-877-1545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2010
Last Update Date : 10/16/2012

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Directions to “ STEPHANIE A RICCARDO PHARMD” Practice Location

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