IndividualActive
Paul Douglas
NPI 1528605623 · Pharmacist · Port Orange, FL
Paul Douglas is a Pharmacist provider in Port Orange, FL (NPI 1528605623).
Provider details
- NPI number
- 1528605623
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PS18285 (FL)
Practice location
3811 Clyde Morris Blvd
Port Orange, FL 32129-2306
Phone: (386) 281-6889
Fax: (386) 281-6888
Street-level locationGet directions
Mailing address
214 Sand Pebble Cir
Port Orange, FL 32129-3630
Registry dates
- Enumerated
- 2019-12-08
- Last updated
- 2019-12-08
- Certified
- 2019-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.