Individual
ASOK BALACHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
970 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33880-4636
(863) 294-3138
Mailing address
4064 TRALEE DR, LAKE WALES, FL 33859-5753
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS39615
FL
Other
Enumeration date
12/05/2020
Last updated
12/08/2020
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