Healthcare Provider Details

I. General information

NPI: 1073148961
Provider Name (Legal Business Name): TEREZA CAMELIA OPREA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2020
Last Update Date: 03/11/2020
Certification Date: 03/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 BLUE LAGOON DR
MIAMI FL
33126-7006
US

IV. Provider business mailing address

5061 FORSYTHIA ST
DELRAY BEACH FL
33484-9128
US

V. Phone/Fax

Practice location:
  • Phone: 561-901-9961
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS49582
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: