Healthcare Provider Details

I. General information

NPI: 1669302337
Provider Name (Legal Business Name): STEVEN BRUCE DUBBERLY RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

3890 PARK CENTRAL BLVD N
POMPANO BEACH FL
33064-2264
US

IV. Provider business mailing address

3690 SW 161ST TER
MIRAMAR FL
33027-4507
US

V. Phone/Fax

Practice location:
  • Phone: 866-348-0441
  • Fax: 888-503-6982
Mailing address:
  • Phone: 786-306-7976
  • Fax: 786-306-7976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS25468
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: