Provider Demographics
NPI:1053508606
Name:SIRIANI, YOVANI (CPHT)
Entity Type:Individual
Prefix:MRS
First Name:YOVANI
Middle Name:
Last Name:SIRIANI
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5855 SW 137TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-1105
Mailing Address - Country:US
Mailing Address - Phone:305-388-7303
Mailing Address - Fax:305-388-8113
Practice Address - Street 1:5855 SW 137TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-1105
Practice Address - Country:US
Practice Address - Phone:305-388-7303
Practice Address - Fax:305-388-8113
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician