Provider Demographics
NPI:1578714739
Name:MBT CONSULTANTS PL
Entity Type:Organization
Organization Name:MBT CONSULTANTS PL
Other - Org Name:MBT CONSULTANTS HOME INFUSION PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARETA
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:TINSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:561-637-1446
Mailing Address - Street 1:13660 JOG RD
Mailing Address - Street 2:SUITE # 6
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-3806
Mailing Address - Country:US
Mailing Address - Phone:561-637-1446
Mailing Address - Fax:561-637-1448
Practice Address - Street 1:13660 JOG RD
Practice Address - Street 2:SUITE # 6
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-3806
Practice Address - Country:US
Practice Address - Phone:561-637-1446
Practice Address - Fax:561-637-1448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000139300Medicaid
FL03256701Medicaid
FL1326225871OtherOTHER NPI # FOR PHARMACY