Individual
STEPHANIE KRIVDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2354 COMMERCE PARK DR STE 120, ORLANDO, FL 32819-8601
(877) 453-4566
Mailing address
3556 LONG LEAF DR, MELBOURNE, FL 32940-1446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS66820
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS66820
FL
Other
Enumeration date
03/27/2024
Last updated
03/14/2026
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