Individual
DAISY MONTALVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9740 SW 40TH ST, MIAMI, FL 33165-4080
(305) 222-2880
Mailing address
14035 SW 48TH TER, MIAMI, FL 33175-4832
(305) 551-9140
(305) 551-9140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS22920
FL
Other
Enumeration date
03/10/2007
Last updated
07/08/2007
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