Davita Medical Group, Pharmacy
LBN: Davita Medical Florida, Inc.
Davita Medical Group, Pharmacy is an health care organization with primary practice located at 1931 W Lumsden Rd , Brandon FL 33511-8819. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Davita Medical Florida, Inc. can be contacted via phone (813) 681-7888, or through Hilger, James via phone (253) 973-0777.
Contact Information
Primary practice address
1931 W Lumsden Rd
Brandon FL 33511-8819
Phone: (813) 681-7888
Fax: (813) 661-0843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH13061 | Florida |
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X |
Profile Details
| NPI number | 1336209568 |
|---|---|
| LBN Legal business name | Davita Medical Florida, Inc. |
| DBA Doing business as | Davita Medical Group, Pharmacy |
| Authorized official | Hilger, James |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | May 10th, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336209568 | NPPES |
| Florida | MEDICAID | 030848000 | |
| Florida | Other | 2013026 | |
| Florida | MEDICAID | 4399230004 |
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