Individual
DR. MAURO J FLORENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
28500 NORTHWESTERN HWY, SUITE 116, SOUTHFIELD, MI 48034-1802
(206) 271-6106
Mailing address
28500 NORTHWESTERN HWY, SUITE 116, SOUTHFIELD, MI 48034-1802
(206) 271-6106
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5302025069
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302025069
PHARMACY LICENSE
MI
Enumeration date
04/02/2012
Last updated
04/02/2012
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