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Contact Information

DAVITA MEDICAL FLORIDA, INC.
1931 W LUMSDEN RD
BRANDON, FL33511-8819
 Phone: 813-681-7888
 Fax: 813-661-0843
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DAVITA MEDICAL FLORIDA, INC.

NPI Number 1336209568
LBN Legal business name DAVITA MEDICAL FLORIDA, INC.
Authorized official JAMES HILGER - (CHIEF ACCOUNTING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2006
Last updated 05/10/2017 - About 9 years ago
Identifiers
FL License # PH13061
FL Medicaid 030848000
FL Medicaid 4399230004
Other 2013026 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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