Healthcare Provider Details

I. General information

NPI: 1225876907
Provider Name (Legal Business Name): YIMEI HUANG PHARM.D., PH.D, BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2024
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

PO BOX 100316
GAINESVILLE FL
32610-0316
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-0404
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS61944
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: