Deltona Pharmacy Of Florida, Llc

LBN: Deltona Pharmacy Of Florida, Llc
Deltona Pharmacy Of Florida, Llc is an health care organization with primary practice located at 25987 S Tamiami Trl Ste 102 , Bonita Springs FL 34134-7807. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Deltona Pharmacy Of Florida, Llc can be contacted via phone (239) 317-0771, or through Randulfe, Carlos via phone (239) 317-0771.

Contact Information

Primary practice address
25987 S Tamiami Trl Ste 102 Bonita Springs FL 34134-7807
Phone: (239) 317-0771
Fax: (386) 574-1489
Website:
Map and Directions
Authorized official contact:
Name: Randulfe, Carlos PHRAMD
Phone: (239) 317-0771

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH24105 Florida

Profile Details

NPI number 1164408860
LBN Legal business name Deltona Pharmacy Of Florida, Llc
DBA Doing business as
Authorized official Randulfe, Carlos PHRAMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2005
Last updated Dec 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164408860 NPPES
Florida MEDICAID 026286200

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