Individual
DR. ANDREA V FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3601 FEDERAL HWY, MIAMI, FL 33137-3795
(305) 576-6611
Mailing address
133 NE 2ND AVE APT 1603, MIAMI, FL 33132-2912
(954) 881-8862
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS60174
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS60174
PHARMACIST LICENSE
FL
01
—
PS60174
PHARMACIST LICENSE
—
Enumeration date
01/11/2021
Last updated
01/11/2021
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