Healthcare Provider Details

I. General information

NPI: 1184665465
Provider Name (Legal Business Name): ROBERT STUART LITMAN R.PH.,C.PH.,CGP
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11600 SW 105TH TER
MIAMI FL
33176-3158
US

IV. Provider business mailing address

11600 SW 105TH TER
MIAMI FL
33176-3158
US

V. Phone/Fax

Practice location:
  • Phone: 305-274-0120
  • Fax:
Mailing address:
  • Phone: 305-274-0120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS19764
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License NumberPS19764
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS19764
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License NumberPS19764
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: