Provider Demographics
NPI:1538265087
Name:DELVECCHIO, RAFFAELLA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RAFFAELLA
Middle Name:
Last Name:DELVECCHIO
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 1:1112 GOVERNORS WAY
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-3652
Mailing Address - Country:US
Mailing Address - Phone:772-234-2760
Mailing Address - Fax:772-234-2761
Practice Address - Street 1:1040 37TH PL
Practice Address - Street 2:SUITE 200
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6578
Practice Address - Country:US
Practice Address - Phone:772-794-5622
Practice Address - Fax:772-794-5619
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS190981835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy