Healthcare Provider Details

I. General information

NPI: 1447174230
Provider Name (Legal Business Name): DIANE CRISELLE J GALINDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14444 BEACH BLVD STE 6
JACKSONVILLE FL
32250-2010
US

IV. Provider business mailing address

14444 BEACH BLVD STE 6
JACKSONVILLE FL
32250-2010
US

V. Phone/Fax

Practice location:
  • Phone: 904-223-0423
  • Fax:
Mailing address:
  • Phone: 904-223-0423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS71149
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: