Healthcare Provider Details

I. General information

NPI: 1174436893
Provider Name (Legal Business Name): ANNE MALESPIN PHARMD
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 W SWANN AVE
TAMPA FL
33606-2554
US

IV. Provider business mailing address

1524 W SWANN AVE
TAMPA FL
33606-2554
US

V. Phone/Fax

Practice location:
  • Phone: 813-499-0283
  • Fax: 813-537-8742
Mailing address:
  • Phone: 813-499-0283
  • Fax: 813-537-8742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7681903
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051293465
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS54575
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: