Provider Demographics
NPI:1376146068
Name:MAYMI, JOSELYN MARIE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JOSELYN
Middle Name:MARIE
Last Name:MAYMI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 SW 94TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3355
Mailing Address - Country:US
Mailing Address - Phone:305-984-5342
Mailing Address - Fax:
Practice Address - Street 1:12180 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-1635
Practice Address - Country:US
Practice Address - Phone:305-554-4464
Practice Address - Fax:305-554-4474
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS47426183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist