Individual
DR. ADAM THALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2354 COMMERCE PARK DR STE 100, ORLANDO, FL 32819-8601
(877) 627-6337
Mailing address
2354 COMMERCE PARK DR STE 100, ORLANDO, FL 32819-8601
(877) 627-6337
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS52469
FL
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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