Individual
SAMANTHA ROSE BALSAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N AVALON PARK BLVD, ORLANDO, FL 32828-6666
(407) 736-8045
Mailing address
1000 N AVALON PARK BLVD, ORLANDO, FL 32828-6666
(407) 736-8045
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT81221
FL
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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