Provider Demographics
NPI:1336544741
Name:CIRCLES OF CARE INC
Entity Type:Organization
Organization Name:CIRCLES OF CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IN PATIENT PHARMACY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAETANO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:321-726-2856
Mailing Address - Street 1:400 SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-3122
Mailing Address - Country:US
Mailing Address - Phone:321-722-5200
Mailing Address - Fax:321-953-7576
Practice Address - Street 1:400 SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3122
Practice Address - Country:US
Practice Address - Phone:321-722-5200
Practice Address - Fax:321-953-7576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH17013333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1088194OtherNAPB
FLPH17013OtherSTATE LICENSE