Individual
JUAN JOSE IBIETATORREMENDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
39200 HOOKER HWY, BELLE GLADE, FL 33430-5368
(561) 996-6572
(561) 996-6608
Mailing address
937 OBISPO AVE, CORAL GABLES, FL 33134-3645
(863) 233-2781
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS45089
FL
Other
Enumeration date
02/07/2013
Last updated
10/16/2013
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