Individual
DR. GERARDO MANSO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1200 W 68TH ST, HIALEAH, FL 33014-4524
(305) 824-7839
(305) 824-0269
Mailing address
15698 SW 53RD ST, MIRAMAR, FL 33027-4983
(305) 824-7839
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PS55207
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS55207
PHARMACIST LICENSE
FL
Enumeration date
11/16/2020
Last updated
11/16/2020
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