Individual
BILAL SIDDIQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35800 US HWY 27 N, HAINES CITY, FL 33844-3735
(863) 422-6661
(863) 422-8472
Mailing address
35800 US HWY 27 N, HAINES CITY, FL 33844-3735
(863) 422-6661
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH16249
FL
183500000X
Pharmacist
Primary
PS60360
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106502500
—
FL
01
—
PS60360
FL BOARD OF PHARMACY
FL
Enumeration date
03/12/2020
Last updated
12/20/2022
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