Provider Demographics
NPI:1518210889
Name:AMINOV, LEV (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:LEV
Middle Name:
Last Name:AMINOV
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 1:1912 S OCEAN DR APT 7B
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5955
Mailing Address - Country:US
Mailing Address - Phone:954-662-8896
Mailing Address - Fax:
Practice Address - Street 1:346 E DANIA BEACH BLVD
Practice Address - Street 2:
Practice Address - City:DANIA
Practice Address - State:FL
Practice Address - Zip Code:33004-3020
Practice Address - Country:US
Practice Address - Phone:954-926-6410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS490431835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy