MEDICARE: ESTELA PINNAVARIA RPH

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	1835P1200X	Pharmacotherapy Pharmacist	PH17703	FL

General Provider Information

NPI Number	:	1881773521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTELA PINNAVARIA RPH

Provider Business Mailing Address
First Line	:	9250 W BAY HARBOR DR # 7B
Second Line	:
City	:	BAY HARBOR ISL
State	:	FL
Zip	:	33154
Country	:	US
Telephone Number	:	305-354-4664
Fax Number	:	305-354-4669

Provider Business Practice Location Address
First Line	:	15173 NE 21 AVE
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33154
Country	:	US
Telephone Number	:	305-354-4664
Fax Number	:	305-354-4669

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

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	07/08/2007

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