Provider Demographics
NPI:1871841213
Name:OJO, PATRICK
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:
Last Name:OJO
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:PATRICK
Other - Middle Name:
Other - Last Name:OJO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:12761 SW 45TH DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-6045
Mailing Address - Country:US
Mailing Address - Phone:954-684-6280
Mailing Address - Fax:305-822-8150
Practice Address - Street 1:12761 SW 45TH DR
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-6045
Practice Address - Country:US
Practice Address - Phone:954-684-6280
Practice Address - Fax:305-822-8150
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS320231835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist