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NPI Code Detail

MEDICARE: JONATHAN SANIN

MEDICARE: JONATHAN SANIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS57059FL

General Provider Information

NPI Number : 1063179505
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN SANIN
Provider Business Mailing Address
First Line : 560 NE 169TH ST
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-3938
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 HIALEAH DR
Second Line :
City : HIALEAH
State : FL
Zip : 33010-5216
Country : US
Telephone Number : 305-888-1639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2021
Last Update Date : 11/18/2021

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Directions to “ JONATHAN SANIN ” Practice Location

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