Provider Demographics
NPI:1053381582
Name:HOSEIN MOHAMMED, SHEERIDA ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHEERIDA
Middle Name:ANN
Last Name:HOSEIN 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 1:4105 PEMBROKE RD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-8103
Mailing Address - Country:US
Mailing Address - Phone:954-265-8113
Mailing Address - Fax:954-985-1597
Practice Address - Street 1:4105 PEMBROKE RD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-8103
Practice Address - Country:US
Practice Address - Phone:954-265-8113
Practice Address - Fax:954-985-1597
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 342911835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS 34291OtherPHARMACIST LICENSE