Individual
DANIELLE BOHRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
960 BACK STAGE LN, LAKE BUENA VISTA, FL 32830-8472
(407) 934-2030
Mailing address
960 BACK STAGE LN, LAKE BUENA VISTA, FL 32830-8472
(407) 934-2030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03233926
OH
183500000X
Pharmacist
Primary
PS52755
FL
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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