Search › Florida › 183500000X
Chomanard Khantaveth, PHARM.D
NPI 1023367380 · on the registry since 2012
Practice
- Address
- 10000 Gulf Center Dr
Fort Myers, FL 33913 - Phone
- (239) 432-2656
- Organisation at this address
- Target
Holiday Cvs Llc
Luxottica Of America Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida