Healthcare Provider Details

I. General information

NPI: 1114831369
Provider Name (Legal Business Name): JESSIE ELIZABETH CABREJOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 COLLINS AVE
MIAMI BEACH FL
33141-3241
US

IV. Provider business mailing address

720 85TH ST APT 4
MIAMI BEACH FL
33141-1127
US

V. Phone/Fax

Practice location:
  • Phone: 305-861-6742
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: