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ANITA DAI BS

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Registrant NPI Number: 1033496211

Individual Registrant:
 ANITA  DAI BS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
500 FAIRWAY DR STE 102  DEERFIELD BCH, FL 33441-1817 US
Tel: 954-947-3759  Fax: --

Contact information for business:
500 FAIRWAY DR. SUITE 102  DEERFIELD, FL 33441 US
Tel: --  Fax: --

Registration Information:
NPI: 1033496211
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106S00000X

FLRBT-17-3374
N183500000XPharmacy Service Providers
Pharmacist
NJ28RI02720100

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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