Provider Demographics
NPI:1104490754
Name:CAVIC, DEBORAH PAIGE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:PAIGE
Last Name:CAVIC
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:PAIGE
Other - Middle Name:
Other - Last Name:CAVIC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:654 BONITA CT
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-7018
Mailing Address - Country:US
Mailing Address - Phone:239-671-7763
Mailing Address - Fax:
Practice Address - Street 1:654 BONITA CT
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-7018
Practice Address - Country:US
Practice Address - Phone:239-671-7763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS359231835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist