Individual
ALISSA INDY MOMPREMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7300 CURRY FORD RD, ORLANDO, FL 32822-7929
(407) 282-6090
Mailing address
7300 CURRY FORD RD, ORLANDO, FL 32822-7929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS69591
FL
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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