Individual
NISHANT TARUNKUMAR TALATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
290 CITRUS TOWER BLVD STE 106, CLERMONT, FL 34711-2783
(352) 989-5890
Mailing address
12405 BEACONTREE WAY, ORLANDO, FL 32837-6582
(201) 214-5084
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
28RI03914000
NJ
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS54500
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI03914000
NEW JERSEY OFFICE OF THE ATTORNEY GENERAL
NJ
01
—
PS54500
STATE OF FLORIDA-DEPARTMENT OF HEALTH
FL
Enumeration date
05/12/2018
Last updated
12/15/2018
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