Provider Demographics
NPI:1720682701
Name:PUNDIT, AMEETA
Entity type:Individual
Prefix:
First Name:AMEETA
Middle Name:
Last Name:PUNDIT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2353 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-5121
Mailing Address - Country:US
Mailing Address - Phone:954-757-6330
Mailing Address - Fax:
Practice Address - Street 1:2353 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5121
Practice Address - Country:US
Practice Address - Phone:954-757-6330
Practice Address - Fax:954-757-8377
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL38359183500000X
FLPS38359183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist