Individual
ATLANTA HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8075 BEACON LAKE DR STE 600, ORLANDO, FL 32809-7246
(813) 548-2493
Mailing address
8075 BEACON LAKE DR STE 600, ORLANDO, FL 32809-7246
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18867
NE
183500000X
Pharmacist
Primary
PS68211
FL
183500000X
Pharmacist
RPH036040
GA
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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