Provider Demographics
NPI:1235725987
Name:FLORIDA HEALTH PHARMACEUTICAL INC
Entity Type:Organization
Organization Name:FLORIDA HEALTH PHARMACEUTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:AYAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-495-8452
Mailing Address - Street 1:14889 TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34287-2732
Mailing Address - Country:US
Mailing Address - Phone:347-495-8452
Mailing Address - Fax:
Practice Address - Street 1:14889 TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-2732
Practice Address - Country:US
Practice Address - Phone:347-495-8452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy