Individual
DOMINIC CIRISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
651 S 60TH AVE, HOLLYWOOD, FL 33023-6723
(954) 961-0100
Mailing address
8512 EAGLE RUN DR, BOCA RATON, FL 33434-5430
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS19367
FL
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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