Provider Demographics
NPI:1649672981
Name:REHMAN, DANIA B (PHARMD)
Entity type:Individual
Prefix:
First Name:DANIA
Middle Name:B
Last Name:REHMAN
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 1:13839 MIRROR LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7424
Mailing Address - Country:US
Mailing Address - Phone:407-208-0435
Mailing Address - Fax:
Practice Address - Street 1:13839 MIRROR LAKE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7424
Practice Address - Country:US
Practice Address - Phone:407-208-0435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS52664183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist