MEDICARE: MAKERBIE ST. FLEUR

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	PS61703	FL

General Provider Information

NPI Number	:	1982572103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAKERBIE ST. FLEUR

Provider Business Mailing Address
First Line	:	7222 W COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-6743
Country	:	US
Telephone Number	:	407-826-1379
Fax Number	:	407-826-1381

Provider Business Practice Location Address
First Line	:	7222 W COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-6743
Country	:	US
Telephone Number	:	407-826-1379
Fax Number	:	407-826-1381

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

Provider Enumeration Date	:	10/28/2025
Last Update Date	:	10/28/2025

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Directions to “ MAKERBIE ST. FLEUR ” Practice Location

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