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Individual

MR. DIPAL SURENDRA DESAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11720 DR MARTIN LUTHER KING BOULEVARD, SEFFNER, FL 33584
(813) 684-0292
(813) 653-2632
Mailing address
11720 E DR MARTIN LUTHER KING JR BLVD, SEFFNER, FL 33584-4923
(813) 684-0292
(813) 653-2632

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS31227
FL

Other

Enumeration date
03/01/2019
Last updated
03/01/2019
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