Jose Thekkedam

NPI #1902767858 in Melbourne, Florida

Provider Information

NPI Number: 1902767858
Entity Type: Individual
Name: Jose Thekkedam
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 20, 2025
Last Updated: Nov 20, 2025

Practice Location

Address: 2830 CARIBBEAN ISLE BLVD APT 316
Address 2: 316
City: Melbourne
State: Florida
ZIP Code: 32935-8160
Phone: (321) 326-4382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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