Provider Demographics
NPI:1407921174
Name:SCOLARO, KELLY L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:L
Last Name:SCOLARO
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 1:12805 MIA CIR
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33774-2427
Mailing Address - Country:US
Mailing Address - Phone:727-595-9198
Mailing Address - Fax:727-549-6400
Practice Address - Street 1:UF COP 9200 113TH ST N
Practice Address - Street 2:PH 105
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772
Practice Address - Country:US
Practice Address - Phone:727-394-6213
Practice Address - Fax:727-549-6400
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35233183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist