Healthcare Provider Details

I. General information

NPI: 1952739286
Provider Name (Legal Business Name): MOSHE RINGEL PHARMD, RPH, EMT-B
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2013
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6555 NOVA DR
DAVIE FL
33317-7404
US

IV. Provider business mailing address

6555 NOVA DR
DAVIE FL
33317-7404
US

V. Phone/Fax

Practice location:
  • Phone: 954-453-4990
  • Fax: 718-289-0784
Mailing address:
  • Phone: 954-453-4990
  • Fax: 718-289-0784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number429736
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS52841
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number058447
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03338092
License Number StateOH
# 5
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03586600
License Number StateNJ
# 6
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number020207
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: