Provider Demographics
NPI:1912510199
Name:ACABEO ORTIZ, KAREN NAOMI (PHARM D)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:NAOMI
Last Name:ACABEO ORTIZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3298 S JOHN YOUNG PKWY
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-8813
Mailing Address - Country:US
Mailing Address - Phone:407-933-8101
Mailing Address - Fax:407-933-2590
Practice Address - Street 1:3298 S JOHN YOUNG PKWY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-8813
Practice Address - Country:US
Practice Address - Phone:407-933-8101
Practice Address - Fax:407-933-2590
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS58683183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist