Provider Demographics
NPI:1922380146
Name:REDDING, DARVI WAYNITA (RPHT, CPHT)
Entity Type:Individual
Prefix:
First Name:DARVI
Middle Name:WAYNITA
Last Name:REDDING
Suffix:
Gender:F
Credentials:RPHT, CPHT
Other - Prefix:
Other - First Name:ZIPPORAH-DARVI
Other - Middle Name:WAYNITA
Other - Last Name:REDDING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPHT, CPHT
Mailing Address - Street 1:6416 OLD WINTER GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-1348
Mailing Address - Country:US
Mailing Address - Phone:888-872-8188
Mailing Address - Fax:407-447-4268
Practice Address - Street 1:6416 OLD WINTER GARDEN RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-1348
Practice Address - Country:US
Practice Address - Phone:888-872-8188
Practice Address - Fax:407-477-4268
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10108183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician