Provider Demographics
NPI:1366503070
Name:DRUG THERAPY CONSULTANTS INC
Entity Type:Organization
Organization Name:DRUG THERAPY CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ROCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-931-0000
Mailing Address - Street 1:15511 N FLORIDA AVE
Mailing Address - Street 2:SUITE E3
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613
Mailing Address - Country:US
Mailing Address - Phone:813-931-0000
Mailing Address - Fax:813-909-8517
Practice Address - Street 1:15511 N FLORIDA AVE
Practice Address - Street 2:SUITE E3
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613
Practice Address - Country:US
Practice Address - Phone:813-931-0000
Practice Address - Fax:813-909-8517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7035Medicare ID - Type Unspecified