Individual
DEVANG N MODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH,MS
Contact information
Practice address
5055 BABCOCK ST NE, SUITE 3, PALM BAY, FL 32905-4673
(201) 993-5814
Mailing address
1515 PALM BAY RD STE 108, MELBOURNE, FL 32905-3863
(201) 993-5814
(321) 499-3994
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH27315
FL
Other
Enumeration date
05/09/2014
Last updated
09/06/2023
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