Provider Demographics
NPI:1043590532
Name:COSIMANO, ALEXANDER (PHARMD, CSP)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:
Last Name:COSIMANO
Suffix:
Gender:M
Credentials:PHARMD, CSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1475 NW 12TH AVE STE 2311
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1002
Mailing Address - Country:US
Mailing Address - Phone:305-423-1757
Mailing Address - Fax:305-423-1759
Practice Address - Street 1:1475 NW 12TH AVE STE 2311
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1002
Practice Address - Country:US
Practice Address - Phone:305-423-1757
Practice Address - Fax:305-423-1759
Is Sole Proprietor?:No
Enumeration Date:2011-08-28
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0045064183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist