Individual
IRENE S NADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17860 SE 109TH AVE STE 616A, SUMMERFIELD, FL 34491-8909
(772) 925-9553
Mailing address
17860 SE 109TH AVE STE 616A, SUMMERFIELD, FL 34491-8909
(772) 925-9553
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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