Individual
BROOKE MICHELLE DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 37TH AVE N, SAINT PETERSBURG, FL 33704-1416
(727) 895-7767
Mailing address
240 32ND AVE N, SAINT PETERSBURG, FL 33704-2232
(813) 410-1692
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS67571
FL
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
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