Healthcare Provider Details

I. General information

NPI: 1144205337
Provider Name (Legal Business Name): ROBINA J VIGILANTE PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6547 N. STATE RD 7
COCONUT CREEK FL
33073
US

IV. Provider business mailing address

9110 DUNDEE DR
LAKE WORTH FL
33467-6122
US

V. Phone/Fax

Practice location:
  • Phone: 954-570-7904
  • Fax: 954-570-9490
Mailing address:
  • Phone: 561-967-2969
  • Fax: 561-967-2969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS028564
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: