Vivian Ceballos

NPI #1225301948 in Davie, Florida

Provider Information

NPI Number: 1225301948
Entity Type: Individual
Name: Vivian Ceballos
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 10, 2012
Last Updated: Feb 10, 2012

Practice Location

Address: 12721 TROTTER BLVD
City: Davie
State: Florida
ZIP Code: 33330-4313
Phone: (305) 967-3550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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