Provider Demographics
NPI:1255934071
Name:MESTRE, JOLIE ANA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOLIE
Middle Name:ANA
Last Name:MESTRE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8400 CORAL WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2334
Mailing Address - Country:US
Mailing Address - Phone:305-351-9519
Mailing Address - Fax:305-225-2225
Practice Address - Street 1:8400 CORAL WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2334
Practice Address - Country:US
Practice Address - Phone:305-351-9519
Practice Address - Fax:305-225-2225
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS52795183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist