Individual
SAMOEL ANTONIOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2778 CARRICKTON CIR, ORLANDO, FL 32824-4230
(407) 639-4806
Mailing address
2778 CARRICKTON CIR, ORLANDO, FL 32824-4230
(407) 639-4806
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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