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Individual

DANIEL PROPHETE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
8518 MILANO DR, 2027, ORLANDO, FL 32810-7005
(321) 439-6441
Mailing address
8518 MILANO DR, 2027, ORLANDO, FL 32810-7005

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS42329
FL

Other

Enumeration date
09/20/2012
Last updated
09/20/2012
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