Provider Demographics
NPI:1477157782
Name:FELIX, RUDY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:RUDY
Middle Name:
Last Name:FELIX
Suffix:
Gender:M
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 1:11850 NW 27TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33323-1762
Mailing Address - Country:US
Mailing Address - Phone:954-632-7129
Mailing Address - Fax:
Practice Address - Street 1:1700 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-2947
Practice Address - Country:US
Practice Address - Phone:954-462-8185
Practice Address - Fax:954-462-7927
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS29545183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist