Healthcare Provider Details

I. General information

NPI: 1437650793
Provider Name (Legal Business Name): VIVIANE CAYA-VANDENBROEK PHARMD MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2018
Last Update Date: 08/12/2026
Certification Date:
Deactivation Date: 05/12/2018
Reactivation Date: 08/12/2026

III. Provider practice location address

9070 KIMBERLY BLVD STE 27
BOCA RATON FL
33434-2856
US

IV. Provider business mailing address

1001 AVOCADO ISLE
FORT LAUDERDALE FL
33315-1337
US

V. Phone/Fax

Practice location:
  • Phone: 561-826-8234
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS56690
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: