Healthcare Provider Details

I. General information

NPI: 1457214546
Provider Name (Legal Business Name): DAVID ENMANUEL ALIREZAEI PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MEADOWS RD
BOCA RATON FL
33486-2304
US

IV. Provider business mailing address

6457 COLOMERA DR
BOCA RATON FL
33433-8242
US

V. Phone/Fax

Practice location:
  • Phone: 561-955-4080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS69009
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: