Provider Demographics
NPI:1962749812
Name:FLAUTT, CANDICE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CANDICE
Middle Name:
Last Name:FLAUTT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CANDICE
Other - Middle Name:
Other - Last Name:ABRAMS FLAUTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:10920 BAYMEADOWS RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-4570
Mailing Address - Country:US
Mailing Address - Phone:904-538-3858
Mailing Address - Fax:904-538-3866
Practice Address - Street 1:10920 BAYMEADOWS RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-4570
Practice Address - Country:US
Practice Address - Phone:904-538-3858
Practice Address - Fax:904-538-3866
Is Sole Proprietor?:No
Enumeration Date:2013-01-12
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS44846183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist