Healthcare Provider Details

I. General information

NPI: 1649873951
Provider Name (Legal Business Name): ANABEL PLANCHE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2020
Last Update Date: 11/18/2020
Certification Date: 11/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2399 W 52ND ST
HIALEAH FL
33016-7213
US

IV. Provider business mailing address

2399 W 52ND ST
HIALEAH FL
33016-7213
US

V. Phone/Fax

Practice location:
  • Phone: 305-424-9144
  • Fax:
Mailing address:
  • Phone: 305-424-9144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS48288
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: