Individual
ANISIA DAVITA LAURENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 E MICHIGAN ST, ORLANDO, FL 32806-4542
(407) 843-0957
(407) 843-9234
Mailing address
408 E MICHIGAN ST, ORLANDO, FL 32806-4542
(407) 843-0956
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS68416
FL
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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