Healthcare Provider Details

I. General information

NPI: 1184229148
Provider Name (Legal Business Name): JAMES SPENCER OKINE PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2020
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4354 NW 23RD AVE
GAINESVILLE FL
32606-6541
US

IV. Provider business mailing address

4354 NW 23RD AVE
GAINESVILLE FL
32606-6541
US

V. Phone/Fax

Practice location:
  • Phone: 352-376-4565
  • Fax:
Mailing address:
  • Phone: 352-376-4565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPS34393
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: