Individual
DR. AMIE DANIELLE MIZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
5200 NW 43RD ST STE 401, GAINESVILLE, FL 32606-4483
(352) 376-0585
Mailing address
3936 NW 34TH PL, GAINESVILLE, FL 32606-6154
(352) 213-0000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS58243
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS58243
STATE LICENSE
FL
Enumeration date
08/24/2018
Last updated
08/24/2018
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