Healthcare Provider Details

I. General information

NPI: 1932546850
Provider Name (Legal Business Name): PAULA COMBS MIZESKI PHARM D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2013
Last Update Date: 06/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5324 LITTLE RD
NEW PORT RICHEY FL
34655-1294
US

IV. Provider business mailing address

5324 LITTLE RD
NEW PORT RICHEY FL
34655-1294
US

V. Phone/Fax

Practice location:
  • Phone: 727-375-5383
  • Fax: 727-376-4902
Mailing address:
  • Phone: 727-375-5383
  • Fax: 727-376-4902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS38852
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: