Healthcare Provider Details

I. General information

NPI: 1831429786
Provider Name (Legal Business Name): JA RAMBEAU INTERNATIONAL PHARMACEUTICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2009
Last Update Date: 12/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240B NW 119TH ST
MIAMI FL
33167-3232
US

IV. Provider business mailing address

16706 SW 36TH CT
MIRAMAR FL
33027-4554
US

V. Phone/Fax

Practice location:
  • Phone: 305-953-8544
  • Fax: 305-953-8547
Mailing address:
  • Phone: 954-295-8310
  • Fax: 305-953-8547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS33972
License Number StateFL

VIII. Authorized Official

Name: DR. JAFRI ANTHONY RAMBEAU
Title or Position: PHARMACIST IN CHARGE
Credential: PHARMD
Phone: 954-295-8310