Provider Demographics
NPI:1629158860
Name:MED-STAR SERVICES, INC.
Entity Type:Organization
Organization Name:MED-STAR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRIEDHELM
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-646-7818
Mailing Address - Street 1:4007 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5506
Mailing Address - Country:US
Mailing Address - Phone:305-646-7818
Mailing Address - Fax:305-646-7820
Practice Address - Street 1:4007 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5506
Practice Address - Country:US
Practice Address - Phone:305-646-7818
Practice Address - Fax:305-646-7820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH213043336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5242840001Medicare ID - Type UnspecifiedPROVIDER NUMBER