Provider Demographics
NPI:1417317074
Name:SMB FLORIDA, LLC
Entity Type:Organization
Organization Name:SMB FLORIDA, LLC
Other - Org Name:PHARMACY CONSULTANTS OF SOUTH FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BERKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:954-240-3381
Mailing Address - Street 1:PO BOX 820653
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33082-0653
Mailing Address - Country:US
Mailing Address - Phone:954-240-3381
Mailing Address - Fax:954-430-4340
Practice Address - Street 1:672 NW 162ND AVE
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1151
Practice Address - Country:US
Practice Address - Phone:954-240-3381
Practice Address - Fax:954-430-4340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-25
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS440561835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Single Specialty