Healthcare Provider Details
I. General information
NPI: 1245835305
Provider Name (Legal Business Name): DAIDEE ALICIA FIGUEIRAL PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/04/2020
Last Update Date: 12/04/2020
Certification Date: 12/04/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8765 S DIXIE HWY
PINECREST FL
33156-1111
US
IV. Provider business mailing address
13000 SW 50TH LN
MIAMI FL
33175-5352
US
V. Phone/Fax
- Phone: 305-740-6840
- Fax: 305-740-5438
- Phone: 305-469-9321
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | PS61054 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: