Kevin C Mustain
Pharmacist, Emergency Medicine in The Villages, FL. Individual provider (NPI-1).
NPI number1316623929
StatusActive
Last updated in NPPESJun 27, 2023
Details
- NPI
- 1316623929
- Entity type
- Individual (NPI-1)
- Name
- Kevin C Mustain
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2023
- Certification date
- Jun 27, 2023
- Last updated
- Jun 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835E0208X | Pharmacist, Emergency Medicine | Ps65050 | FL | Yes |
Practice location
1451 El Camino RealThe Villages, FL 32159-0041
Phone 352-751-8263
Mailing address
2927 Se 46th AveOcala, FL 34480-1669
Phone 954-240-0556
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