Healthcare Provider Details

I. General information

NPI: 1841131190
Provider Name (Legal Business Name): NARDEEN BAKHIT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 S MISSOURI AVE
CLEARWATER FL
33756-5760
US

IV. Provider business mailing address

1857 RIDGEWAY DR
CLEARWATER FL
33755-2238
US

V. Phone/Fax

Practice location:
  • Phone: 727-446-6037
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS70278
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: