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Justin Ryan Ceravolo, PHARMD
Pharmacist in Fort Myers, Florida
NPI 1144586447

Justin Ryan Ceravolo is a Pharmacist based in Fort Myers, FL. Justin Ryan Ceravolo practices in Fort Myers, FL and has the professional credentials of PHARMD. The NPI Number for Justin Ryan Ceravolo is 1144586447 and holds a License No. PSI24223 (Florida).

The current practice location address for Justin Ryan Ceravolo is 9451 Cypress Lake Dr, Fort Myers, FL and can be reached out via phone at 239-481-7322 and via fax at 239-481-0151.

Location: 9451 Cypress Lake Dr, Fort Myers, FL, 33919-4909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144586447
Provider Name
Justin Ryan Ceravolo
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
9451 Cypress Lake Dr, Fort Myers, FL, 33919-4909
Phone Number
239-481-7322
Fax Number
239-481-0151
Provider Enumeration Date
04/11/2012
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
9451 Cypress Lake Dr
City
Fort Myers
State
Florida
Zip
33919-4909
Phone Number
239-481-7322
Fax Number
239-481-0151
person
Provider Business Mailing Address Details
Address
9451 Cypress Lake Dr
City
Fort Myers
State
Florida
Zip
33919-4909
Phone Number
239-481-7322
Fax Number
239-481-0151
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PS 49258 (Florida)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PSI24223 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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