Individual
DR. BISHASWAR MAHADEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
4750 E MOODY BLVD, UNIT 107, BUNNELL, FL 32110-7709
(386) 597-1082
Mailing address
4750 E MOODY BLVD, UNIT 107, BUNNELL, FL 32110-7709
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS42466
FL
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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