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NPI Code Detail

MEDICARE: SUKI LAFORTUNE PHARMD

MEDICARE:   SUKI  LAFORTUNE  PHARMD
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
1183500000XPharmacistPS59904FL

General Provider Information

NPI Number : 1558919431
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUKI LAFORTUNE PHARMD
Provider Business Mailing Address
First Line : 4946 SW 135TH TER
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-5929
Country : US
Telephone Number : 305-494-0808
Fax Number :
Provider Business Practice Location Address
First Line : 9400 NW 12TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33150-2025
Country : US
Telephone Number : 305-494-0808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2019
Last Update Date : 09/03/2019

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Directions to “ SUKI LAFORTUNE PHARMD” Practice Location

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