Individual
MARISSA JACQUELINE MAURICIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
14400 COMMERCE WAY, MIAMI LAKES, FL 33016-1508
(210) 630-9175
Mailing address
14400 COMMERCE WAY, MIAMI, MIAMI, FL 33016-4165
(210) 630-9175
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PU9576
FL
1835P2201X
Ambulatory Care Pharmacist
Primary
PS65135
FL
Other
Enumeration date
03/20/2023
Last updated
07/09/2025
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