Mid Florida Pharmacy
LBN: Mt. Dora Pharmacy Llc
Mid Florida Pharmacy is an health care organization with primary practice located at 461-463 Plaza Drive , Eustis FL 32726. The organization recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mt. Dora Pharmacy Llc can be contacted via phone (352) 729-6557, or through Patel, Alpesh via phone (813) 304-2221.
Contact Information
Primary practice address
461-463 Plaza Drive
Eustis FL 32726
Phone: (352) 729-6557
Fax: (352) 385-7412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Diabetes Educator | 163WD0400X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH29311 | Florida |
Profile Details
| NPI number | 1619344777 |
|---|---|
| LBN Legal business name | Mt. Dora Pharmacy Llc |
| DBA Doing business as | Mid Florida Pharmacy |
| Authorized official | Patel, Alpesh |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 25th, 2015 |
| Last updated | Sep 9th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619344777 | NPPES |
| Other | 2153608 | PK | |
| MEDICAID | 015852200 | PK |
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