Healthcare Provider Details

I. General information

NPI: 1598669244
Provider Name (Legal Business Name): ANDRE GOLSHIR
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8217 SW 72ND AVE APT 1908
MIAMI FL
33143-8019
US

IV. Provider business mailing address

8217 SW 72ND AVE APT 1908
MIAMI FL
33143-8019
US

V. Phone/Fax

Practice location:
  • Phone: 404-645-3448
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS71018
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: