Organization
LOCATEL SUNNY ISLES LLC
Active
Other names
Miramar Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DINO JOSE ANTONIONI RPH (CEO/OWNER/PHARMACIST)
(954) 392-8000
Entity
Organization
Contact information
Practice address
1951 SW 172ND AVE, SUITE #107, MIRAMAR, FL 33029
(954) 392-8000
(954) 392-8070
Mailing address
1951 SW 172ND AVE, SUITE #107, MIRAMAR, FL 33029
(954) 392-8000
(954) 392-8070
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH21641
FL
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031314900
—
FL
01
—
1016167
OTHER ID NUMBER
—
Enumeration date
11/22/2006
Last updated
04/08/2010
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