Provider Demographics
NPI:1467560946
Name:KRINGDON, EDGARDO (RPH, MS)
Entity Type:Individual
Prefix:MR
First Name:EDGARDO
Middle Name:
Last Name:KRINGDON
Suffix:
Gender:M
Credentials:RPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 N BAYSHORE DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-5116
Mailing Address - Country:US
Mailing Address - Phone:917-687-2991
Mailing Address - Fax:
Practice Address - Street 1:2000 N BAYSHORE DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-5116
Practice Address - Country:US
Practice Address - Phone:917-687-2991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS52923183500000X
NJ28RI03323200183500000X
PR2565183500000X
NY035733I183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist