Provider Demographics
NPI:1225109267
Name:BENAVIDES, SANDRA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:
Last Name:BENAVIDES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 BILTMORE WAY
Mailing Address - Street 2:#1404
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-7539
Mailing Address - Country:US
Mailing Address - Phone:305-448-8259
Mailing Address - Fax:954-262-2278
Practice Address - Street 1:3200 S UNIVERSITY DR
Practice Address - Street 2:COLLEGE OF PHARMACY
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-2018
Practice Address - Country:US
Practice Address - Phone:954-262-1732
Practice Address - Fax:954-262-2278
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS422001835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy