Individual
AYLEN AMESTOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11721 S DIXIE HWY, PINECREST, FL 33156-4438
(305) 235-7961
Mailing address
11721 S DIXIE HWY, PINECREST, FL 33156-4438
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS56994
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235233198
—
FL
Enumeration date
11/30/2020
Last updated
11/30/2020
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