Provider Demographics
NPI:1699956060
Name:LLOSENT, MARLENE (PHARMD, BCPP)
Entity type:Individual
Prefix:
First Name:MARLENE
Middle Name:
Last Name:LLOSENT
Suffix:
Gender:F
Credentials:PHARMD, BCPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1695 NW 9TH AVE
Mailing Address - Street 2:MENTAL HEALTH PHARMACY SUITE # 1311
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1409
Mailing Address - Country:US
Mailing Address - Phone:305-355-7208
Mailing Address - Fax:305-355-7196
Practice Address - Street 1:1695 NW 9TH AVE
Practice Address - Street 2:MENTAL HEALTH PHARMACY SUITE # 1311
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1409
Practice Address - Country:US
Practice Address - Phone:305-355-7208
Practice Address - Fax:305-355-7196
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 221851835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric