Healthcare Provider Details

I. General information

NPI: 1669651741
Provider Name (Legal Business Name): ROBERTA HINKES PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2007
Last Update Date: 10/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1695 NW 9TH AVE JMH MENTAL HEALTH PHARMACY - RM 1311
MIAMI FL
33136-1409
US

IV. Provider business mailing address

1695 NW 9TH AVE JMH MENTAL HEALTH PHARMACY - RM 1311
MIAMI FL
33136-1409
US

V. Phone/Fax

Practice location:
  • Phone: 305-355-7186
  • Fax:
Mailing address:
  • Phone: 305-355-7186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License NumberPS24884
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: