Provider Demographics
NPI:1073924387
Name:CANENT, RUFELINDA (RPH,CPH)
Entity Type:Individual
Prefix:
First Name:RUFELINDA
Middle Name:
Last Name:CANENT
Suffix:
Gender:F
Credentials:RPH,CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11612 RENAISSANCE VIEW CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-2682
Mailing Address - Country:US
Mailing Address - Phone:813-767-8311
Mailing Address - Fax:813-854-6460
Practice Address - Street 1:11612 RENAISSANCE VIEW CT
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-2682
Practice Address - Country:US
Practice Address - Phone:813-767-8311
Practice Address - Fax:813-854-6460
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-08
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35824183500000X
FLPU5836183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist