Individual
BASSEM ATEF LAWENDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7815 S US HIGHWAY 17/92, FERN PARK, FL 32730-2261
(407) 331-0968
Mailing address
7815 S US HIGHWAY 17/92, FERN PARK, FL 32730-2261
(407) 331-0968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS65693
FL
Other
Enumeration date
08/07/2023
Last updated
08/10/2023
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