Individual
MR. CARL D ACQUAVIVA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
1260 SARNO RD, MELBOURNE, FL 32935-5204
(321) 242-2440
(321) 242-2125
Mailing address
1260 SARNO RD, MELBOURNE, FL 32935-5204
(321) 242-2440
(321) 242-2125
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 21702
FL
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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