Provider Demographics
NPI:1457629412
Name:ESPERANT, CASSANDRA (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:CASSANDRA
Middle Name:
Last Name:ESPERANT
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 1:11055 NW 27TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33322-1809
Mailing Address - Country:US
Mailing Address - Phone:954-599-2726
Mailing Address - Fax:
Practice Address - Street 1:750 NW 119TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-2335
Practice Address - Country:US
Practice Address - Phone:305-685-9970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS48151183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist