Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin Ryan Ceravolo, PHARMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144586447

Justin Ryan Ceravolo, PHARMD is a Student in an Organized Health Care Education/Training Program in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

9451 Cypress Lake Dr
Fort Myers, FL 33919-4909
Phone: (239) 481-7322
Fax: (239) 481-0151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS 49258 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PSI24223 (FL)

Record details

NPI number1144586447
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedApril 11, 2012
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

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