Provider Demographics
NPI:1851906754
Name:VALDERRAMA, AURA CRISTINA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AURA
Middle Name:CRISTINA
Last Name:VALDERRAMA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 N ORLANDO AVE
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-5506
Mailing Address - Country:US
Mailing Address - Phone:407-599-0210
Mailing Address - Fax:
Practice Address - Street 1:242 N ORLANDO AVE
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5506
Practice Address - Country:US
Practice Address - Phone:407-599-0210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS61541183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist