Provider Demographics
NPI:1770820631
Name:PASZTOR, DORA (RPH)
Entity Type:Individual
Prefix:DR
First Name:DORA
Middle Name:
Last Name:PASZTOR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:DORA
Other - Middle Name:
Other - Last Name:BYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2871 CLAYTON CROSSING WAY STE 1001
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-3426
Mailing Address - Country:US
Mailing Address - Phone:407-673-2317
Mailing Address - Fax:
Practice Address - Street 1:2871 CLAYTON CROSSING WAY STE 1001
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-3426
Practice Address - Country:US
Practice Address - Phone:407-673-2317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-12
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39026183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist