Provider Demographics
NPI:1518957430
Name:MAYMI, ISABEL CRISTINA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ISABEL
Middle Name:CRISTINA
Last Name:MAYMI
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 1:1211 ANNE ELISA CIR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34772-7474
Mailing Address - Country:US
Mailing Address - Phone:407-957-7828
Mailing Address - Fax:
Practice Address - Street 1:1211 ANNE ELISA CIR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34772-7474
Practice Address - Country:US
Practice Address - Phone:407-957-7828
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39851183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist