Healthcare Provider Details

I. General information

NPI: 1306120811
Provider Name (Legal Business Name): KAREN MAY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2011
Last Update Date: 10/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 BELFORT PKWY SUITE 200
JACKSONVILLE FL
32256-6934
US

IV. Provider business mailing address

8000 BELFORT PKWY SUITE 200
JACKSONVILLE FL
32256-6934
US

V. Phone/Fax

Practice location:
  • Phone: 904-296-0016
  • Fax: 904-296-0604
Mailing address:
  • Phone: 904-296-0016
  • Fax: 904-296-0604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS45999
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberPU6861
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: