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NPI Code Detail

MEDICARE: LEONID SLOBODSKOY PHARMD

MEDICARE: LEONID SLOBODSKOY 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPU7480FL
2183500000XPharmacistPS50231FL

General Provider Information

NPI Number : 1962907923
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEONID SLOBODSKOY PHARMD
Provider Business Mailing Address
First Line : 1111 KANE CONCOURSE STE 518
Second Line :
City : BAY HARBOR ISLANDS
State : FL
Zip : 33154-2043
Country : US
Telephone Number : 305-867-1228
Fax Number :
Provider Business Practice Location Address
First Line : 439 NW 12TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33128-1020
Country : US
Telephone Number : 305-867-1228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2018
Last Update Date : 03/29/2018

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Directions to “ LEONID SLOBODSKOY PHARMD” Practice Location

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