Provider Demographics
NPI:1205662558
Name:CARRASQUILLO DEL VALLE, ZULMARIE LYNN (PHARMD)
Entity type:Individual
Prefix:
First Name:ZULMARIE
Middle Name:LYNN
Last Name:CARRASQUILLO DEL VALLE
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 1:3154 LANDINGS CIR APT 409
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-0033
Mailing Address - Country:US
Mailing Address - Phone:787-392-0516
Mailing Address - Fax:
Practice Address - Street 1:3600 WINTER GARDEN VINELAND RD
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-5482
Practice Address - Country:US
Practice Address - Phone:407-654-5203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy