Provider Demographics
NPI:1760151062
Name:ANTONETTI-NEGRON, KARLA (PHARMD)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:ANTONETTI-NEGRON
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 1:3690 BEE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1001
Mailing Address - Country:US
Mailing Address - Phone:941-925-9032
Mailing Address - Fax:
Practice Address - Street 1:3690 BEE RIDGE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1001
Practice Address - Country:US
Practice Address - Phone:941-925-9032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS63195183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist