Healthcare Provider Details

I. General information

NPI: 1104241009
Provider Name (Legal Business Name): SAISNATH BAIJOO PHARMACIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2014
Last Update Date: 02/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1936 WEST FLAGLER STREET
MIAMI FL
33135-1615
US

IV. Provider business mailing address

1936 WEST FLAGLER STREET
MIAMI FL
33135-1615
US

V. Phone/Fax

Practice location:
  • Phone: 305-649-2180
  • Fax: 305-649-9672
Mailing address:
  • Phone: 305-649-2180
  • Fax: 305-649-9672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS37414
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: