Provider Demographics
NPI:1881165108
Name:MOHAMMED, FINELLA AZIZA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FINELLA
Middle Name:AZIZA
Last Name:MOHAMMED
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5715 NW 48TH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2801
Mailing Address - Country:US
Mailing Address - Phone:954-842-8915
Mailing Address - Fax:
Practice Address - Street 1:11375 W ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6369
Practice Address - Country:US
Practice Address - Phone:954-341-7636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-13
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS58167183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist