Fatta, Jeffrey J

Fatta, Jeffrey J is an individual health care provider with primary practice located at 790 W. Granada Blvd , Ormond Beach FL 32174. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Fatta, Jeffrey J can be contacted via phone (386) 672-7107.

Contact Information

Primary practice address
790 W. Granada Blvd Ormond Beach FL 32174
Phone: (386) 672-7107
Fax: (386) 673-2892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS026762 Florida

Profile Details

NPI number 1285916569
LBN Legal business name Fatta, Jeffrey J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2011
Last updated Sep 13th, 2011 - about 15 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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