Healthcare Provider Details

I. General information

NPI: 1285569368
Provider Name (Legal Business Name): NATALIE CORA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 HIALEAH DR
HIALEAH FL
33010-5216
US

IV. Provider business mailing address

8325 GRAND CANAL DR
MIAMI FL
33144-3539
US

V. Phone/Fax

Practice location:
  • Phone: 305-888-1639
  • Fax:
Mailing address:
  • Phone: 305-283-0401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS70674
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: