Caceres, Rafael R

Caceres, Rafael R is an sole proprietor health care provider with primary practice located at 207 E Robertson St Ste B , Brandon FL 33511-5254. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Caceres, Rafael R can be contacted via phone (813) 781-0250.

Contact Information

Primary practice address
207 E Robertson St Ste B Brandon FL 33511-5254
Phone: (813) 781-0250
Fax: (813) 681-6570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X RPT18988 Florida

Profile Details

NPI number 1396413621
LBN Legal business name Caceres, Rafael R
Credentials CEO BBA, RPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2021
Last updated Sep 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396413621 NPPES
Florida MEDICAID 003977800

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