Individual
CARMEN JANISELLE HERNANDEZ ZENGOTITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 PARK PLACE BLVD STE 100, KISSIMMEE, FL 34741-2344
(407) 344-9700
(407) 348-7100
Mailing address
4814 ASHURST ST, KISSIMMEE, FL 34758-2884
(407) 433-2224
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS65267
FL
1835P1300X
Psychiatric Pharmacist
PS65267
FL
Other
Enumeration date
06/28/2020
Last updated
11/01/2025
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