Healthcare Provider Details

I. General information

NPI: 1679495758
Provider Name (Legal Business Name): SHONNA LOUDIS CLINICAL PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3476 S UNIVERSITY DR
DAVIE FL
33328-2000
US

IV. Provider business mailing address

1175 WATERVIEW LN
WESTON FL
33326-2932
US

V. Phone/Fax

Practice location:
  • Phone: 954-475-4400
  • Fax:
Mailing address:
  • Phone: 954-802-2342
  • Fax: 954-802-2342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPS21579
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: