Individual
TAMARA THEODORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 N ORANGE AVE, SUITE 122, ORLANDO, FL 32804-4603
(407) 303-2559
(407) 303-2568
Mailing address
632 WEKIVA CREST DR, APOPKA, FL 32712-1475
(863) 852-4209
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT45199
FL
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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