Individual
MARIA R ESCOBEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPHT
Contact information
Practice address
7025 N WICKHAM RD, SUITE 112, MELBOURNE, FL 32940-7534
(321) 259-3400
(321) 253-3119
Mailing address
5300 WILD CINNAMON DR, MELBOURNE, FL 32940-1428
(321) 259-3400
(321) 253-3119
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT29746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPT29746
STATE OF FLORIDA
FL
Enumeration date
08/19/2011
Last updated
08/19/2011
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