Jasti, Suresh B

Jasti, Suresh B is an individual health care provider with primary practice located at 501 Havendale Blvd , Auburndale FL 33823-4629. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jasti, Suresh B can be contacted via phone (863) 967-7518.

Contact Information

Primary practice address
501 Havendale Blvd Auburndale FL 33823-4629
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS41006 Florida

Profile Details

NPI number 1982987566
LBN Legal business name Jasti, Suresh B
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2011
Last updated Jul 3rd, 2013 - about 12 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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