Provider Demographics
NPI:1003257502
Name:AMINOV, SEMYON (PHARMD)
Entity Type:Individual
Prefix:
First Name:SEMYON
Middle Name:
Last Name:AMINOV
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3111 W DR MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6235
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3111 W DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:SUITE 800
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6235
Practice Address - Country:US
Practice Address - Phone:813-915-6180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-12
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS53271183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist