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Contact Information

AVA KEROLOS LLC
33338 U.S. HWY 19 N.
PALM HARBOR, FL34684
 Phone: 727-785-2640
 Fax: 727-784-0701
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for AVA KEROLOS LLC

NPI # 1659764959
LBN Legal business name AVA KEROLOS LLC
Authorized official EMAN ROUFAIL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/10/2015
Last updated 12/28/2021 - About 4 years ago
Identifiers
FL License # PH28867
FL Medicaid 014789900
Other 2150855 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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