Provider Demographics
NPI:1508479296
Name:CAO, XING X (PHARM D)
Entity Type:Individual
Prefix:
First Name:XING
Middle Name:X
Last Name:CAO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:CAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:17970 N TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:N FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-1412
Mailing Address - Country:US
Mailing Address - Phone:239-599-3005
Mailing Address - Fax:239-567-2093
Practice Address - Street 1:17970 N TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-1412
Practice Address - Country:US
Practice Address - Phone:239-599-3005
Practice Address - Fax:239-567-2093
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS55788183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist