MEDICARE: SYLVIA VICTORIA BRUTUS

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	183500000X	Pharmacist	PS64579	FL

General Provider Information

NPI Number	:	1285352351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVIA VICTORIA BRUTUS

Provider Business Mailing Address
First Line	:	1600 SW 78TH AVE APT 314
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-3394
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2511 E ATLANTIC BLVD
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-5217
Country	:	US
Telephone Number	:	954-786-7969
Fax Number	:

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

Provider Enumeration Date	:	08/16/2022
Last Update Date	:	07/28/2023

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Directions to “ SYLVIA VICTORIA BRUTUS ” Practice Location

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