Provider Demographics
NPI:1093966699
Name:SMITH, TRAMAINE PRESTON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TRAMAINE
Middle Name:PRESTON
Last Name:SMITH
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 1:2401 NE 65TH ST APT 604
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1555
Mailing Address - Country:US
Mailing Address - Phone:305-395-6545
Mailing Address - Fax:305-395-6545
Practice Address - Street 1:150 SE 2ND AVE STE 913
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-1576
Practice Address - Country:US
Practice Address - Phone:786-417-3943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS44010183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist