Provider Demographics
NPI:1053296285
Name:LUVERA, MICHAEL (PHARMD, CPH)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:LUVERA
Suffix:
Gender:M
Credentials:PHARMD, CPH
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1252 NIMITZ BLVD
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33974-2653
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:125 BOSTON AVE
Practice Address - Street 2:
Practice Address - City:IMMOKALEE
Practice Address - State:FL
Practice Address - Zip Code:34142-4017
Practice Address - Country:US
Practice Address - Phone:239-986-5479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPU9928183500000X
FLPS66373183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist