Provider Demographics
NPI:1760769723
Name:MESSICK, KAREN (RPH, JD, LLM)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:MESSICK
Suffix:
Gender:F
Credentials:RPH, JD, LLM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 BRICKELL BAY DR APT 812
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2955
Mailing Address - Country:US
Mailing Address - Phone:305-725-6980
Mailing Address - Fax:
Practice Address - Street 1:750 NW 119TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-2335
Practice Address - Country:US
Practice Address - Phone:305-685-9970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS-0032133183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist