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Davita Medical Florida, Inc.
Managed Care Organization Pharmacy in Brandon, Florida
NPI 1336209568

Davita Medical Florida, Inc. is a Managed Care Organization Pharmacy based in St. Petersburg, FL and is specialized in Managed Care Organization Pharmacy. Davita Medical Florida, Inc. practices in Brandon, FL. The NPI Number for Davita Medical Florida, Inc. is 1336209568 and holds a License No. PH13061 (Florida).

The current practice location address for Davita Medical Florida, Inc. is 1931 W Lumsden Rd, Brandon, FL and can be reached out via phone at 813-681-7888 and via fax at 813-661-0843. You can also correspond with Davita Medical Florida, Inc. through the mailing address at 10051 5TH STREET NORTH, ST. PETERSBURG, FL - 33702-2299 (mailing address contact number: 813-681-7888).

Location: 1931 W Lumsden Rd, Brandon, FL, 33702-2299
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336209568
Provider Name
Davita Medical Florida, Inc.
Credential
Provider Entity Type
Organization
Address
1931 W Lumsden Rd, Brandon, FL, 33702-2299
Phone Number
813-681-7888
Fax Number
813-661-0843
Provider Enumeration Date
12/11/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
030848000 05 FL
2013026 01 PK
4399230004 05 FL
institution
Provider Business Practice Location Address Details
Address
1931 W Lumsden Rd
City
Brandon
State
Florida
Zip
33511-8819
Phone Number
813-681-7888
Fax Number
813-661-0843
person
Provider Business Mailing Address Details
Address
10051 5Th Street North
City
St. Petersburg
State
Florida
Zip
33702-2299
Phone Number
813-681-7888
Fax Number
813-661-0843
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
PH13061 (Florida)
Definition
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
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