Provider Demographics
NPI:1447934732
Name:BENDZIENE FLAMENT, RENATA (RPH)
Entity type:Individual
Prefix:
First Name:RENATA
Middle Name:
Last Name:BENDZIENE FLAMENT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4563 LACEBARK TRL
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-5133
Mailing Address - Country:US
Mailing Address - Phone:240-789-7347
Mailing Address - Fax:
Practice Address - Street 1:2351 S HIAWASSEE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-6312
Practice Address - Country:US
Practice Address - Phone:407-294-4009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS38481183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist