Provider Demographics
NPI:1104844166
Name:DAYEST MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:DAYEST MEDICAL SERVICES INC
Other - Org Name:DAYEST MEDICAL SERVICES INC & PHARMACY DISCOUNT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-255-5959
Mailing Address - Street 1:17356 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:VILLAGE OF PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-4319
Mailing Address - Country:US
Mailing Address - Phone:305-255-5959
Mailing Address - Fax:305-255-9991
Practice Address - Street 1:17356 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:VILLAGE OF PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-4319
Practice Address - Country:US
Practice Address - Phone:305-255-5959
Practice Address - Fax:305-255-9991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH22275183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4952550001Medicare NSC