Provider Demographics
NPI:1184906380
Name:ABI-NADER, CENDRELLA
Entity type:Individual
Prefix:
First Name:CENDRELLA
Middle Name:
Last Name:ABI-NADER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 MIDWAY RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-4351
Mailing Address - Country:US
Mailing Address - Phone:352-261-1273
Mailing Address - Fax:352-261-1589
Practice Address - Street 1:89 MIDWAY RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-4351
Practice Address - Country:US
Practice Address - Phone:352-261-1273
Practice Address - Fax:352-261-1589
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS47060183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist