Provider Demographics
NPI:1164699641
Name:ROSARIO, SARAI (RPH)
Entity Type:Individual
Prefix:
First Name:SARAI
Middle Name:
Last Name:ROSARIO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1434 ANNA CATHERINE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7405
Mailing Address - Country:US
Mailing Address - Phone:407-208-1929
Mailing Address - Fax:
Practice Address - Street 1:13700 E COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-4962
Practice Address - Country:US
Practice Address - Phone:407-382-9291
Practice Address - Fax:407-282-5417
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS30385183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist