Healthcare Provider Details

I. General information

NPI: 1265144588
Provider Name (Legal Business Name): SHIRLEY KWOK URANGA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2022
Last Update Date: 12/19/2022
Certification Date: 12/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 NW 7TH ST STE 205
MIAMI FL
33125-3744
US

IV. Provider business mailing address

1250 NW 7TH ST STE 205
MIAMI FL
33125-3744
US

V. Phone/Fax

Practice location:
  • Phone: 305-547-4790
  • Fax: 305-925-9560
Mailing address:
  • Phone: 305-547-4790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS37724
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: