Provider Demographics
NPI:1205118619
Name:AUF DEM KAMPE, ANA PAULA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANA PAULA
Middle Name:
Last Name:AUF DEM KAMPE
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 1:6735 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-8342
Mailing Address - Country:US
Mailing Address - Phone:727-384-9050
Mailing Address - Fax:
Practice Address - Street 1:6735 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-8342
Practice Address - Country:US
Practice Address - Phone:727-384-9050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46815183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist