DAVITA MEDICAL FLORIDA, INC. (NPI# 1073673208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073673208 |
| Entity Type | Organization |
| Organization Name | DAVITA MEDICAL FLORIDA, INC. |
| Other Organization Name | DAVITA MEDICAL GROUP, PHARMACY |
| Practice Address |
11920 Seminole Blvd Largo FL 33778-2803 |
| Mailing Address |
10051 5th Street North St. Petersburg FL 33702-2299 |
| Practice Telephone | 7278280378 |
| Practice Fax Number | 7278280390 |
| Mailing Telephone | 7278280378 |
| Mailing Fax Number | 7278280390 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2017-05-10 |
| Authorized Official Name | JAMES HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2539730777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH20947 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2003983 | 01 | |
| FL | 028343600 | 05 |
| Other Name | Type Code |
|---|---|
| DaVita Medical Group, Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336209568 | Davita Medical Florida, Inc. | Pharmacy | 1931 W Lumsden Rd, Brandon, FL 33511-8819 | 2006-12-11 |
| 1154481380 | Davita Medical Florida, Inc. | Pharmacy | 2727 W Dr Martin Luther King Jr Blvd Ste 100, Ste 100, Tampa, FL 33607-6353 | 2006-12-11 |
| 1508233537 | Davita Medical Florida, Inc. | Non-Pharmacy Dispensing Site | 2424 Manatee Ave W, Suite 100, Bradenton, FL 34205-4954 | 2015-08-25 |
| 1508138769 | Davita Medical Florida, Inc. | Durable Medical Equipment & Medical Supplies | 4757 Us Highway 19 Ste A, New Port Richey, FL 34652-4945 | 2012-02-03 |
| Street Address |
11920 SEMINOLE BLVD |
| City | LARGO |
| State | FL |
| Zip Code | 33778-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023571775 | Patricia Ann Mitchell | Hearing Instrument Specialist | Florida Medical Hearing Center, 10825 102nd Avenue North-ste 312, Seminole, FL 33778 | 2019-04-10 |
| 1376037432 | Fresh Start Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 11561 Walsingham Rd Ste C, Largo, FL 33778 | 2018-06-21 |
| 1275059685 | Sharetta Lanor Ingram-patterson | Counselor | 11365 111th Avenue, Largo, FL 33778 | 2017-08-17 |
| 1598215444 | Keri Crotty | Counselor | 11963 105th Avenue, Largo, FL 33778 | 2016-10-04 |
| 1972961274 | Yudith Liriano Gonzalez | Registered Nurse | 12150 Seminole Blvd Ste 111, Largo, FL 33778 | 2016-02-02 |
| 1528347309 | Kenneth Eran Rosher | Assisted Living Facility | 1617 Madrid Drive, Largo, FL 33778 | 2011-08-10 |
| 1609987817 | Jennifer Roco Paulmino Dds Prof Dental Pa | Dentist | 10333 Seminole Blvd Ste 7, Largo, FL 33778 | 2006-08-31 |
| 1871533893 | Kenneth Tsu-ching Yen | Internal Medicine | 11200 Seminole Blvd Ste 306, Largo, FL 33778 | 2006-06-07 |
| 1447251061 | Mayra L Lorenzo | Family Medicine | 12150 Seminole Blvd, Largo, FL 33778 | 2005-08-04 |
| 1841706926 | 1 Care LLC | Respite Care | 12945 Seminole Blvd, Suite 12, Largo, FL 33778 | 2017-12-27 |
| Find all providers in zip 33778 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396164588 | Darig Pharmacy | Pharmacy | 12702 Starkey Rd, Largo, FL 33773-1426 | 2014-04-15 |
| 1003995770 | Benson Pharmacy Inc | Pharmacy | 11380 66th St, Suite 138, Largo, FL 33773-5531 | 2006-11-03 |
| 1578661088 | Bayside Drugs Inc | Pharmacy | 12071 Indian Rocks Rd, Largo, FL 33774 | 2006-09-20 |
| 1033213913 | Holiday Cvs LLC | Pharmacy | 2390 E Bay Dr, Largo, FL 33771-2362 | 2006-09-12 |
| 1366546251 | Holiday Cvs LLC | Pharmacy | 7405 Starkey Rd, Largo, FL 33777-4344 | 2006-09-12 |
| 1629172598 | Holiday Cvs LLC | Pharmacy | 2390 Belcher Rd S, Largo, FL 33771-4010 | 2006-09-12 |
| 1184728081 | Holiday Cvs LLC | Pharmacy | 8905 Bryan Dairy Rd, Largo, FL 33777-1102 | 2006-09-12 |
| 1891700928 | Walgreen Co | Pharmacy | 14004 Walsingham Rd, Largo, FL 33774-3232 | 2006-07-29 |
| 1477944411 | Baycare Urgent Care, LLC | Pharmacy | 13670 Walsingham Rd, Largo, FL 33774-3532 | 2015-02-12 |
| 1407257470 | Empath Health Pharmaceuticals, LLC | Pharmacy | 11701 Belcher Rd S Ste 126, Largo, FL 33773-5117 | 2014-09-10 |
| Find all providers in LARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.