Individual
BROC SCARAMELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2815 NW 13TH ST, GAINESVILLE, FL 32609-2879
(520) 499-3388
Mailing address
2815 NW 13TH ST # 204, GAINESVILLE, FL 32609-2879
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS56556
FL
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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