MEDICARE: FERAS ALSHHADEH PHARM D

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	PS43685	FL

General Provider Information

NPI Number	:	1538445507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERAS ALSHHADEH PHARM D

Provider Business Mailing Address
First Line	:	4049 PINE TREE DR
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3601
Country	:	US
Telephone Number	:	305-535-9737
Fax Number	:	305-535-3097

Provider Business Practice Location Address
First Line	:	4049 PINE TREE DR
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140
Country	:	US
Telephone Number	:	305-535-9737
Fax Number	:	305-535-3097

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

Provider Enumeration Date	:	10/22/2011
Last Update Date	:	06/12/2018

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