Individual
DANIEL LANE TREVARTHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5124 ROLLING FAIRWAY DRIVE, VALRICO, FL 33596
(813) 654-8248
Mailing address
5124 ROLLING FAIRWAY DR, VALRICO, FL 33596-8220
(813) 654-8248
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS025076
FL
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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