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NPI Code Detail

MEDICARE: DR. JAMIE KISGEN PHARMD

MEDICARE: DR. JAMIE KISGEN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835I0206XInfectious Diseases PharmacistPS41247FL
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPS41247FL

General Provider Information

NPI Number : 1093512915
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMIE KISGEN PHARMD
Provider Business Mailing Address
First Line : 1700 S TAMIAMI TRL
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3555
Country : US
Telephone Number : 941-917-7150
Fax Number : 941-917-1637
Provider Business Practice Location Address
First Line : 1700 S TAMIAMI TRL
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3555
Country : US
Telephone Number : 941-917-7150
Fax Number : 941-917-1637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2025
Last Update Date : 02/27/2025

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