MEDICARE: MEDICAL HOTSPOTS INC/BAILEYS CLOSED SYSTEM PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336M0003X	Managed Care Organization Pharmacy
3	3336S0011X	Specialty Pharmacy	PH30217	FL
4	3336L0003X	Long Term Care Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2160915	OTHER		PK

General Provider Information

NPI Number	:	1265884522
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL HOTSPOTS INC/BAILEYS CLOSED SYSTEM PHARMACY

Provider Business Mailing Address
First Line	:	780 US HIGHWAY 1 UNIT 100
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32962-1661
Country	:	US
Telephone Number	:	772-226-7700
Fax Number	:	888-908-8578

Provider Business Practice Location Address
First Line	:	5156 S ORANGE AVE STE B
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-3024
Country	:	US
Telephone Number	:	407-930-3102
Fax Number	:	407-930-3103

Authorized Official
Title or Position	:	OWNER
Name	:	TRISHA BAILEY
Credential	:
Telephone Number	:	772-226-7700

Provider Enumeration Date	:	07/11/2016
Last Update Date	:	04/02/2025

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