Mamta Udasi

NPI #1942834759 in Mango, Florida

Provider Information

NPI Number: 1942834759
Entity Type: Individual
Name: Mamta Udasi
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 2, 2020
Last Updated: Mar 2, 2020

Practice Location

Address: 11509 EAST MARTIN LUTHER KING JR. BLVD
City: Mango
State: Florida
ZIP Code: 33550
Phone: (813) 448-1323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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