Individual
BAVLY IBRHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12028 MAJESTIC BLVD, HUDSON, FL 34667-2418
(727) 863-4575
Mailing address
12028 MAJESTIC BLVD, HUDSON, FL 34667-2418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS63053
FL
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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