Provider Demographics
NPI:1336487891
Name:KUMAR, NAVEEN (RPH)
Entity Type:Individual
Prefix:
First Name:NAVEEN
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7975 STATE ROAD 50
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:FL
Mailing Address - Zip Code:34736-9381
Mailing Address - Country:US
Mailing Address - Phone:352-429-2969
Mailing Address - Fax:352-429-2454
Practice Address - Street 1:7975 STATE ROAD 50
Practice Address - Street 2:
Practice Address - City:GROVELAND
Practice Address - State:FL
Practice Address - Zip Code:34736-9381
Practice Address - Country:US
Practice Address - Phone:352-429-2969
Practice Address - Fax:352-429-2454
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39791183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist