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Individual

ALEXANDER MAKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6270 W SAMPLE RD, CORAL SPRINGS, FL 33067-3176
(954) 344-5565
(954) 344-5570
Mailing address
2750 NE 28TH CT APT 5, LIGHTHOUSE POINT, FL 33064-9307
(352) 999-2937

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS60807
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS60807
STATE OF FLORIDA DEPARTMENT OF HEALTH PHARMACIST LICENSE
FL
Enumeration date
06/28/2020
Last updated
06/28/2020
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