Healthcare Provider Details

I. General information

NPI: 1033527742
Provider Name (Legal Business Name): ALLAN CAO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2014
Last Update Date: 07/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 GRANADA GROVE CT
CORAL GABLES FL
33134
US

IV. Provider business mailing address

816 GRANADA GROVES CT
CORAL GABLES FL
33134-2428
US

V. Phone/Fax

Practice location:
  • Phone: 786-547-3240
  • Fax:
Mailing address:
  • Phone: 786-547-3240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number006253
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS38002
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: