Healthcare Provider Details

I. General information

NPI: 1134045016
Provider Name (Legal Business Name): JENNIFER MARSH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER CALDWELL

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TAMPA GENERAL CIR
TAMPA FL
33606-3571
US

IV. Provider business mailing address

6022 MARSH TRAIL DR
ODESSA FL
33556-4655
US

V. Phone/Fax

Practice location:
  • Phone: 813-974-8743
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS57821
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: