Individual
MRS. BERTINA L REPASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
4686 E MICHIGAN ST, ORLANDO, FL 32812-5234
(407) 277-1912
(407) 277-2026
Mailing address
4784 E MICHIGAN ST APT 16, ORLANDO, FL 32812-5249
(407) 658-1490
(407) 277-2026
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
200113010569854
FL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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