Provider Demographics
NPI:1831474584
Name:ABREU, MARTIN (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:
Last Name:ABREU
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2499 S PALM AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-5082
Mailing Address - Country:US
Mailing Address - Phone:954-436-6247
Mailing Address - Fax:954-438-4837
Practice Address - Street 1:2499 S PALM AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-5082
Practice Address - Country:US
Practice Address - Phone:954-436-6247
Practice Address - Fax:954-438-4837
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS24718183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist