Amy Dimauro, PHARM.D.
Individual provider Active NPI Pharmacist · Fort Lauderale, FL
NPI 1750667366 · NPPES record last updated Sep 8, 2015
Key facts
- NPI
- 1750667366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS48148 (FL)
- Practice address
- 6405 N Federal Hwy
Suite 205
Fort Lauderale, FL 33486 - Phone
- (954) 727-2174
- NPI assigned
- Oct 26, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS48148 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS48148 | FL | Yes |
Addresses
Primary practice location
6405 N Federal Hwy
Suite 205
Fort Lauderale, FL 33486
Mailing address
6405 N Federal Hwy
Suite 205
Fort Lauderdale, FL 33308-1412
Phone (954) 727-2174
Other providers in Fort Lauderale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.