Most Relevant Information
Provider Data
NPI Number: | 1003004110 |
Provider Name: | ROBERT SPROUL PHARMD |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | PS 41657 |
Most Important Dates
Enumeration Date: | 10/15/2007 |
Last Updated: | 10/15/2007 |
Provider Practice Location
5201 RAYMOND ST
ORLANDO
FL
328038208
Practice Location Phone/Fax
Phone: | 4076291599 |
Fax: |
Provider Mailing Location
10505 FOX CENTRAL
POLK CITY
FL
338689478
Provider Mailing Phone/Fax
Phone: | |
Fax: |