Individual
DHVANI G PAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 BURNSED BLVD, THE VILLAGES, FL 32163-2705
(352) 643-4067
Mailing address
600 RIVER BIRCH CT, APT 827, CLERMONT, FL 34711-5166
(954) 812-3766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS52227
FL
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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