Provider Demographics
NPI:1558602672
Name:MURIAS, ELIZABETH
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:MURIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 N UNIVERSITY DR STE E200
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6244
Mailing Address - Country:US
Mailing Address - Phone:800-918-4169
Mailing Address - Fax:
Practice Address - Street 1:4300 N UNIVERSITY DR STE E200
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6244
Practice Address - Country:US
Practice Address - Phone:800-918-4169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-14
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD112971835P1200X
FLPS529121835P2201X
VA02020073011835P2201X
MST139901835P2201X
LAPST0212531835P2201X
AL186251835P2201X
TN395401835P2201X
OKR163951835P2201X
TX577011835P2201X
MI53020446991835P2201X
KY0187101835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy