Healthcare Provider Details

I. General information

NPI: 1760776942
Provider Name (Legal Business Name): XILMA LEMOIS PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2011
Last Update Date: 07/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4103 CEDAR CIR MSC 1500
TAMPA FL
33620-0001
US

IV. Provider business mailing address

4103 CEDAR CIR MSC 1500
TAMPA FL
33620-0001
US

V. Phone/Fax

Practice location:
  • Phone: 813-974-2071
  • Fax: 813-974-4383
Mailing address:
  • Phone: 813-974-2071
  • Fax: 813-974-4383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS37261
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: