Individual
MR. LOC VO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
1101 SOUTH MILITARY TRAIL, DEERFIELD BEACH, FL 33442
(954) 421-5358
(954) 421-2347
Mailing address
626 NW 13TH ST, # 33, BOCA RATON, FL 33486
(407) 925-7200
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
360101060765599
FL
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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