MEDICARE: DR. CHRISTINE M MAURIELLO PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835C0205X	Critical Care Pharmacist	PS60790	FL

General Provider Information

NPI Number	:	1053008417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE M MAURIELLO PHARMD

Provider Business Mailing Address
First Line	:	1111 BRICKELL BAY DR APT 907
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33131-2955
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 NW 79TH AVE
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33122-1174
Country	:	US
Telephone Number	:	786-466-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2023
Last Update Date	:	04/18/2023

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