Provider Demographics
NPI:1285314146
Name:BROTHERTON, JOSEPH CAI (PHARMD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:CAI
Last Name:BROTHERTON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2755 SW 91ST ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-2749
Mailing Address - Country:US
Mailing Address - Phone:352-331-1086
Mailing Address - Fax:
Practice Address - Street 1:2755 SW 91ST ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-2749
Practice Address - Country:US
Practice Address - Phone:352-331-1086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS65949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist