Healthcare Provider Details

I. General information

NPI: 1154926335
Provider Name (Legal Business Name): SAMUEL ANTONIO COMANDARI PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2020
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7230 W ATLANTIC BLVD
MARGATE FL
33063-4236
US

IV. Provider business mailing address

7230 W ATLANTIC BLVD
MARGATE FL
33063-4236
US

V. Phone/Fax

Practice location:
  • Phone: 954-590-4057
  • Fax:
Mailing address:
  • Phone: 954-590-4057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS59791
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: