Healthcare Provider Details

I. General information

NPI: 1053115600
Provider Name (Legal Business Name): JOHN SETH MARKOWITZ PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

10802 NW 18TH CT
GAINESVILLE FL
32606-5479
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-6262
  • Fax:
Mailing address:
  • Phone: 352-284-2248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License NumberPS51118
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: