Provider Demographics
NPI:1417132291
Name:MARCHESE, ENRIQUE FRANCISCO (RPH)
Entity Type:Individual
Prefix:MR
First Name:ENRIQUE
Middle Name:FRANCISCO
Last Name:MARCHESE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18614 LE DAUPHINE PL
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-2887
Mailing Address - Country:US
Mailing Address - Phone:813-394-2304
Mailing Address - Fax:813-948-8105
Practice Address - Street 1:18614 LE DAUPHINE PL
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33558-2887
Practice Address - Country:US
Practice Address - Phone:813-394-2304
Practice Address - Fax:813-948-8105
Is Sole Proprietor?:No
Enumeration Date:2007-12-30
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0013300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist