Healthcare Provider Details

I. General information

NPI: 1023139920
Provider Name (Legal Business Name): KRISTINA MAY LOMBARDI R.PH, PHARM.D., BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30704 HAWKEYE RD
DADE CITY FL
33523-1943
US

IV. Provider business mailing address

30704 HAWKEYE RD
DADE CITY FL
33523-1943
US

V. Phone/Fax

Practice location:
  • Phone: 352-588-9964
  • Fax: 352-588-9964
Mailing address:
  • Phone: 352-588-9261
  • Fax: 352-588-9964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS 31072
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: