Provider Demographics
NPI:1720503931
Name:JONES, CAITLYN D'ATRA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CAITLYN
Middle Name:D'ATRA
Last Name:JONES
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 1:12259 PIONEERS WAY APT 4402
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-2857
Mailing Address - Country:US
Mailing Address - Phone:256-490-3144
Mailing Address - Fax:
Practice Address - Street 1:11930 NARCOOSSEE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-6900
Practice Address - Country:US
Practice Address - Phone:479-268-9243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-08
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL19972183500000X
FLPS61022183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL19972OtherSTATE LICENSE
FLPS61022OtherSTATE LICENSE