Individual
DIONTA HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 54TH AVE S, SAINT PETERSBURG, FL 33711-4541
(727) 864-1546
Mailing address
3501 54TH AVE S, SAINT PETERSBURG, FL 33711-4541
(727) 864-1546
(727) 864-9800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS59711
FL
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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