Provider Demographics
NPI:1548806110
Name:CORTES, WILLIAM (PHARMD, RPH, CPH)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:CORTES
Suffix:
Gender:M
Credentials:PHARMD, RPH, CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3730 CLEVELAND HEIGHTS BLVD STE 4A
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-0212
Mailing Address - Country:US
Mailing Address - Phone:863-221-3673
Mailing Address - Fax:
Practice Address - Street 1:3730 CLEVELAND HEIGHTS BLVD STE 4A
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-0212
Practice Address - Country:US
Practice Address - Phone:863-606-5222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-19
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPU94291835P0018X
FLPS57139183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist