DAVITA MEDICAL FLORIDA, INC.


Address: 1931 W Lumsden Rd, Brandon, FL 33511-8819
Phone: 8136817888

DAVITA MEDICAL FLORIDA, INC. (NPI# 1336209568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336209568
Entity Type Organization
Organization Name DAVITA MEDICAL FLORIDA, INC.
Other Organization Name DAVITA MEDICAL GROUP, PHARMACY
Practice Address 1931 W Lumsden Rd
Brandon
FL 33511-8819
Mailing Address 10051 5th Street North
St. Petersburg
FL 33702-2299
Practice Telephone 8136817888
Practice Fax Number 8136610843
Mailing Telephone 8136817888
Mailing Fax Number 8136610843
Enumeration Date 2006-12-11
Last Update Date 2017-05-10
Authorized Official Name JAMES HILGER (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2539730777
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336M0003X Pharmacy
Specialization: Managed Care Organization Pharmacy
Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PH13061 FL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
FL 030848000 05
PK 2013026 01
FL 4399230004 05

Other Provider/Organization Names

Other Name Type Code
DaVita Medical Group, Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073673208 Davita Medical Florida, Inc. Pharmacy 11920 Seminole Blvd, Largo, FL 33778-2803 2006-12-11
1154481380 Davita Medical Florida, Inc. Pharmacy 2727 W Dr Martin Luther King Jr Blvd Ste 100, Ste 100, Tampa, FL 33607-6353 2006-12-11
1508233537 Davita Medical Florida, Inc. Non-Pharmacy Dispensing Site 2424 Manatee Ave W, Suite 100, Bradenton, FL 34205-4954 2015-08-25
1508138769 Davita Medical Florida, Inc. Durable Medical Equipment & Medical Supplies 4757 Us Highway 19 Ste A, New Port Richey, FL 34652-4945 2012-02-03

Office Location

Street Address 1931 W LUMSDEN RD
City BRANDON
State FL
Zip Code 33511-8819

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295367555 Ability Beyond Measures LLC. Clinic/Center 2705 Isabella Valley Court, Brandon, FL 33511 2020-02-05
1831744655 Brandon Modern Dentistry, Pa Dentist 971 E. Bloomingdale Avenue, Brandon, FL 33511 2019-08-08
1487208922 Heart and Vascular Center of Brandon, Pllc Internal Medicine 511 Medical Oaks Ave., Brandon, FL 33511 2019-08-01
1841842895 Rebecca Harrelson Counselor 915 Oakfield Drive, Suite E, Brandon, FL 33511 2019-07-10
1043779713 Cheryl Diane Hart Nurse Practitioner 888 S Parsons Ave., Brandon, FL 33511 2019-03-13
1306303177 Paula J Buchwald Nurse Practitioner 888 S. Parsons Ave, Brandon, FL 33511 2019-02-27
1063993996 Ashlee Marie Shevchenko Speech-Language Pathologist 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 2018-08-28
1275023012 Ava Cares, LLC Assisted Living Facility 3005 Bell Shoals Rd., Brandon, FL 33511 2018-05-17
1346738705 Tampa Psychology Group Psychologist 1463 Oakfield Dr Ste 109, Brandon, FL 33511 2018-05-01
1760982987 Suresh Lama Tamang Counselor 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 2018-02-14
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy 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.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114449287 Family Drug Mart of Brandon, LLC Pharmacy 212 E Government St, Brandon, MS 39042-3152 2017-07-11
1194119875 H&o Specialty Pharmacy LLC Pharmacy 500 Vonderburg Dr Ste 113w, Brandon, FL 33511-5969 2015-03-20
1942587787 Freds Stores of Tennessee Inc Pharmacy 1898 Spillway Rd, Brandon, MS 39047-6063 2011-11-08
1295013530 Northeast Pharmaceuticals, Inc. Pharmacy 608 Marquette Road, Brandon, MS 39042 2011-08-03
1699079756 Balaji Pharma LLC Pharmacy 162 N Parsons Ave, Brandon, FL 33510 2011-01-04
1316261035 Alpha Drug Inc Pharmacy 1450 Oakfield Dr, Brandon, FL 33511-4853 2010-03-24
1811221385 Gudoc Pharmacy Pllc Pharmacy 106 S Parsons Ave, Brandon, FL 33511-5225 2009-09-30
1972743573 Choice Pharmacy #002 Pharmacy 401 S Parsons Ave, Suite C, Brandon, FL 33511-5292 2009-02-23
1255547915 F & B Drugs Inc Pharmacy 209 S Moon Avenue, Brandon, FL 33511 2007-05-16
1568532679 Bill's Prescription Center, Inc. Pharmacy 202 E Brandon Blvd, Brandon, FL 33511-5221 2006-11-08
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Competitor

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City BRANDON
Zip Code 33511

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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