Individual
AMARYLIS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7575 OSCEOLA POLK LINE RD, DAVENPORT, FL 33896-9112
(321) 677-0531
(321) 677-0537
Mailing address
7575 OSCEOLA POLK LINE RD, DAVENPORT, FL 33896-9112
(321) 677-0531
(321) 677-0537
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS40902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AMARIC1122
—
FL
Enumeration date
09/28/2021
Last updated
09/28/2021
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