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NPI Code Detail

MEDICARE: ALEXANDER MAKI

MEDICARE: ALEXANDER MAKI
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
1183500000XPharmacistPS60807FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PS60807OTHERFLSTATE OF FLORIDA DEPARTMENT OF HEALTH PHARMACIST LICENSE

General Provider Information

NPI Number : 1821615683
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER MAKI
Provider Business Mailing Address
First Line : 2750 NE 28TH CT APT 5
Second Line :
City : LIGHTHOUSE POINT
State : FL
Zip : 33064-9307
Country : US
Telephone Number : 352-999-2937
Fax Number :
Provider Business Practice Location Address
First Line : 6270 W SAMPLE RD
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-3176
Country : US
Telephone Number : 954-344-5565
Fax Number : 954-344-5570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2020
Last Update Date : 06/28/2020

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Directions to “ ALEXANDER MAKI ” Practice Location

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