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NPI Code Detail

MEDICARE: STEPHANIE ZOE RIVERA CORREA PHARMD

MEDICARE:   STEPHANIE ZOE RIVERA CORREA  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
1183500000XPharmacistPS67683FL

General Provider Information

NPI Number : 1588491351
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE ZOE RIVERA CORREA PHARMD
Provider Business Mailing Address
First Line : 2022 ADAMS ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-6977
Country : US
Telephone Number : 904-444-2975
Fax Number :
Provider Business Practice Location Address
First Line : 9400 NW 12TH AVE
Second Line : BAY 5
City : MIAMI
State : FL
Zip : 33150-2026
Country : US
Telephone Number : 305-696-8803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2024
Last Update Date : 09/17/2024

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Directions to “ STEPHANIE ZOE RIVERA CORREA PHARMD” Practice Location

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