Individual
DEBORA FUERTES-PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 51ST ST E APT 1110A, BRADENTON, FL 34208-5617
(787) 402-1532
Mailing address
702 51ST ST E APT 1110A, BRADENTON, FL 34208-5617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PSI29790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSI29790
DEPARTMENT OF HEALTH
FL
Enumeration date
02/03/2015
Last updated
07/31/2021
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