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Individual

MISS ICEL BETANCOURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
870 NW 106TH AVE, MIAMI, FL 33172-3129
(305) 608-5875
Mailing address
870 NW 106TH AVE, MIAMI, FL 33172-3129
(305) 608-5875

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PU5530
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS35882
FL

Other

Enumeration date
03/26/2013
Last updated
03/26/2013
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