Individual
CECILIA IVONNE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10700 NW 74TH ST, DORAL, FL 33178-1845
(305) 594-5984
Mailing address
888 BRICKELL KEY DR APT 2702, MIAMI, FL 33131-2671
(786) 368-1011
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS39709
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS39709
LICENSE NUMBER
FL
Enumeration date
09/26/2022
Last updated
09/26/2022
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