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Individual

DR. CHARDONNAE TERELL BAITY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3724 84TH AVENUE CIR E, SARASOTA, FL 34243-7800
(941) 360-6707
Mailing address
3724 84TH AVENUE CIR E, SARASOTA, FL 34243-7800

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS65118
FL

Other

Enumeration date
11/14/2022
Last updated
11/14/2022
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