Provider Demographics
NPI:1992018030
Name:DEWAN, SAMEYEEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SAMEYEEN
Middle Name:
Last Name:DEWAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14238 FURMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-3551
Mailing Address - Country:US
Mailing Address - Phone:586-489-8113
Mailing Address - Fax:
Practice Address - Street 1:14238 FURMAN AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-3551
Practice Address - Country:US
Practice Address - Phone:586-489-8113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45814183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist