Individual
DEAN HENRY SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2250 HUFFSTETLER DR, SUITE B, TAVARES, FL 32778-5264
(352) 742-8940
(352) 742-8941
Mailing address
6120 TREMAYNE DR, MOUNT DORA, FL 32757
(352) 742-8940
(352) 742-8941
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS 19841
FL
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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