Individual
ADIANET VERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1601 SW 107TH AVE, MIAMI, FL 33165-7344
(305) 554-1706
Mailing address
1601 SW 107TH AVE, MIAMI, FL 33165-7344
(305) 554-1706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1841575800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841575800
NPI
FL
Enumeration date
10/20/2011
Last updated
09/06/2013
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