Provider Demographics
NPI:1356855944
Name:ANCEAUME, EMET MARIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EMET
Middle Name:MARIA
Last Name:ANCEAUME
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2046 NE WALDO RD STE 3100
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-8977
Mailing Address - Country:US
Mailing Address - Phone:352-273-9045
Mailing Address - Fax:
Practice Address - Street 1:2046 NE WALDO RD STE 3100
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-8977
Practice Address - Country:US
Practice Address - Phone:352-273-9045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-19
Last Update Date:2017-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL56990183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist