Provider Demographics
NPI:1265884522
Name:MEDICAL HOTSPOTS INC/BAILEYS CLOSED SYSTEM PHARMACY
Entity type:Organization
Organization Name:MEDICAL HOTSPOTS INC/BAILEYS CLOSED SYSTEM PHARMACY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-226-7700
Mailing Address - Street 1:780 US HIGHWAY 1 UNIT 100
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32962-1661
Mailing Address - Country:US
Mailing Address - Phone:772-226-7700
Mailing Address - Fax:888-908-8578
Practice Address - Street 1:5156 S ORANGE AVE STE B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-3024
Practice Address - Country:US
Practice Address - Phone:407-930-3102
Practice Address - Fax:407-930-3103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-11
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336M0003X, 3336L0003X
FLPH302173336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336M0003XSuppliersPharmacyManaged Care Organization Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2160915OtherPK