Individual
AMANDA PERAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
101 ARIANA ST, LAKELAND, FL 33803-2159
(863) 688-5525
Mailing address
101 ARIANA ST, LAKELAND, FL 33803-2159
(863) 688-5525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS46361
FL
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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