Healthcare Provider Details

I. General information

NPI: 1669302451
Provider Name (Legal Business Name): STEPHANIE MARINA SUAREZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12401 MIRAMAR PKWY
MIRAMAR FL
33027-2900
US

IV. Provider business mailing address

6730 ORCHID DR
MIAMI LAKES FL
33014-2645
US

V. Phone/Fax

Practice location:
  • Phone: 954-538-8473
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS70570
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: