Provider Demographics
NPI:1457980930
Name:MADHANI, REHENAKHANU (PHARMD)
Entity Type:Individual
Prefix:
First Name:REHENAKHANU
Middle Name:
Last Name:MADHANI
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 1:8325 SANDBERRY BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-4182
Mailing Address - Country:US
Mailing Address - Phone:954-554-6834
Mailing Address - Fax:
Practice Address - Street 1:3725 S HIGHWAY 27 STE 102
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-7600
Practice Address - Country:US
Practice Address - Phone:352-717-0177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS27355183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist