Healthcare Provider Details

I. General information

NPI: 1033046453
Provider Name (Legal Business Name): BENJAMIN BIBLIOWICZ PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 NW 17TH ST STE O
MIAMI FL
33136-1135
US

IV. Provider business mailing address

257 SW 159TH LN
SUNRISE FL
33326-2270
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-3996
  • Fax:
Mailing address:
  • Phone: 954-336-5022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS56757
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: