Provider Demographics
NPI:1467566315
Name:LAVERONI, DENNIS G (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:G
Last Name:LAVERONI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14928 SW 132ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7617
Mailing Address - Country:US
Mailing Address - Phone:305-575-3102
Mailing Address - Fax:305-575-3386
Practice Address - Street 1:1201 NW 16TH ST
Practice Address - Street 2:PHARMACY DEPT (119)
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1624
Practice Address - Country:US
Practice Address - Phone:305-575-3102
Practice Address - Fax:305-575-3386
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 217501835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy