Provider Demographics
NPI:1992391981
Name:NAVARRO, MILEINE (RPH)
Entity Type:Individual
Prefix:
First Name:MILEINE
Middle Name:
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14415 SW 15TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-3269
Mailing Address - Country:US
Mailing Address - Phone:305-316-2680
Mailing Address - Fax:
Practice Address - Street 1:8410 W FLAGLER ST STE 105B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2041
Practice Address - Country:US
Practice Address - Phone:786-536-7346
Practice Address - Fax:786-558-4157
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40787183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist