Individual
DR. KIMBERLY MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 978-5968
Mailing address
23724 OAKSIDE BLVD, LUTZ, FL 33559-6940
(813) 972-2000
(813) 978-5968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS25133
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS 25133
FL
1835P1200X
Pharmacotherapy Pharmacist
PS51233
FL
Other
Enumeration date
09/22/2005
Last updated
12/30/2008
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