Individual
BRUNO DE MARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
434 QUAY ASSISI, NEW SMYRNA, FL 32169-5102
(407) 690-9713
Mailing address
434 QUAY ASSISI, NEW SMYRNA, FL 32169-5102
(407) 690-9713
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS62831
FL
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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