Individual
DANNY YANG BOYETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9902 VENETIAN RIVER WAY, TAMPA, FL 33619-5012
(813) 924-0719
Mailing address
9902 VENETIAN RIVER WAY, TAMPA, FL 33619
(813) 924-0719
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PSI29753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSI29753
DEPARTMENT OF HEALTH
FL
Enumeration date
01/23/2015
Last updated
01/23/2015
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