Individual
AMBERLY SHORETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HANCOCK BRIDGE PKWY W, CAPE CORAL, FL 33991-2088
(239) 458-2070
Mailing address
100 HANCOCK BRIDGE PKWY W, CAPE CORAL, FL 33991-2088
(239) 458-2070
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS55621
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS55621
STATE LICENSE
FL
Enumeration date
11/03/2016
Last updated
11/03/2016
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