Individual
DONALD EUGENE BERISFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
910 OLD CAMP RD, BUILDING # 170, THE VILLAGES, FL 32162-5604
(352) 753-1877
(352) 753-3755
Mailing address
910 OLD CAMP RD, BUILDING # 170, THE VILLAGES, FL 32162-5604
(352) 753-1877
(352) 753-3755
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS 20786
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS 20786
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
01/16/2013
Last updated
01/16/2013
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