Individual
ILA BAGHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
1621 SW 13TH ST, GAINESVILLE, FL 32608-1524
(135) 233-6338
Mailing address
12326 HAMLIN BLVD, WEST PALM BEACH, FL 33412-2346
(561) 801-2520
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1978728
FL
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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