Individual
STEPHEN DAMBRA II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4901 SW 148TH AVE, DAVIE, FL 33330-2400
(954) 680-2600
Mailing address
4901 SW 148TH AVE, DAVIE, FL 33330-2400
(954) 680-2600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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