Healthcare Provider Details

I. General information

NPI: 1336228030
Provider Name (Legal Business Name): COLLEEN MARIE DOUCET PHARM D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 CRANDON BLVD
KEY BISCAYNE FL
33149-2026
US

IV. Provider business mailing address

2001 BISCAYNE BLVD #2320
MIAMI FL
33137-5009
US

V. Phone/Fax

Practice location:
  • Phone: 305-365-8319
  • Fax: 305-365-8312
Mailing address:
  • Phone: 305-576-8314
  • Fax: 305-576-8314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS0028549
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: