MEDICARE: MALCOM LAFFITA PHARM.D

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
1	183500000X	Pharmacist	PS0040110	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528271442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALCOM LAFFITA PHARM.D

Provider Business Mailing Address
First Line	:	2462 SW 137TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-6330
Country	:	US
Telephone Number	:	305-521-9400
Fax Number	:	305-521-9401

Provider Business Practice Location Address
First Line	:	2462 SW 137TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-6330
Country	:	US
Telephone Number	:	305-521-9400
Fax Number	:	305-521-9401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	08/08/2019

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