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Individual

BASSEM ADEL ELSEIFY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
15912 E.STATE RD. 40, SILVER SPRINGS, FL 34488
(352) 625-2866
(352) 625-2330
Mailing address
15912 E.STATE RD. 40, SILVER SPRINGS, FL 34488
(352) 625-2866
(352) 625-2330

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS54489
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
123
WINN-DIXIE
01
1518988815
WINN-DIXIE
Enumeration date
07/24/2017
Last updated
07/21/2022
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