Provider Demographics
NPI:1104415496
Name:TRINDADE-SUELDO, CARMEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:
Last Name:TRINDADE-SUELDO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CARMEN
Other - Middle Name:
Other - Last Name:TRINDADE-SUELDO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1827 HIGHLANDS IN THE WOODS DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-3810
Mailing Address - Country:US
Mailing Address - Phone:813-843-6312
Mailing Address - Fax:
Practice Address - Street 1:2200 OSPREY BLVD
Practice Address - Street 2:
Practice Address - City:BARTOW
Practice Address - State:FL
Practice Address - Zip Code:33830-3308
Practice Address - Country:US
Practice Address - Phone:863-519-1526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41583183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist