Individual
BURTON JAY SOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6801 N US HIGHWAY 1, COCOA, FL 32927-5084
(321) 637-0911
Mailing address
3422 RUSS PL, VIERA, FL 32940-8646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS22737
FL
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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