Provider Demographics
NPI:1568806586
Name:CAMERON, KATE ELIZABETH
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:ELIZABETH
Last Name:CAMERON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5445 STATE ROAD 16
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32092-1350
Mailing Address - Country:US
Mailing Address - Phone:904-940-5556
Mailing Address - Fax:
Practice Address - Street 1:1655 THE GREENS WAY
Practice Address - Street 2:UNIT 2632
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-2461
Practice Address - Country:US
Practice Address - Phone:904-386-5368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-21
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPSI26002183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist