Individual
MRS. DEBORAH KAY ESTANISLAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
13255 ATLANTIC BLVD, JACKSONVILLE, FL 32225-3127
(904) 220-6606
(904) 220-0633
Mailing address
13255 ATLANTIC BLVD, JACKSONVILLE, FL 32225-3127
(904) 220-6606
(904) 220-0633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS0033929
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104010300
—
FL
Enumeration date
10/12/2011
Last updated
10/12/2011
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