Provider Demographics
NPI:1649550211
Name:PARULEKAR, MALTI (BPHARM)
Entity type:Individual
Prefix:
First Name:MALTI
Middle Name:
Last Name:PARULEKAR
Suffix:
Gender:F
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5722 BASSETT PL
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-8505
Mailing Address - Country:US
Mailing Address - Phone:386-785-5668
Mailing Address - Fax:
Practice Address - Street 1:1700 N NORMANDY BLVD
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725-4504
Practice Address - Country:US
Practice Address - Phone:386-532-4048
Practice Address - Fax:386-532-4054
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS38909183500000X
FLPU6756183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist