Healthcare Provider Details

I. General information

NPI: 1861256802
Provider Name (Legal Business Name): YULEINY CARMEN CARTAYA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2024
Last Update Date: 02/09/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3121 SW 108TH WAY
GAINESVILLE FL
32608-1281
US

IV. Provider business mailing address

3121 SW 108TH WAY
GAINESVILLE FL
32608-1281
US

V. Phone/Fax

Practice location:
  • Phone: 305-546-3660
  • Fax:
Mailing address:
  • Phone: 305-546-3660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPS46563
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: