MEDICARE: AVEE, INC.

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	PH 19760	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PH 19760	OTHER	FL	BOARD OF PHARMACY

General Provider Information

NPI Number	:	1679578470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVEE, INC.

Provider Business Mailing Address
First Line	:	407 N BELCHER RD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-2607
Country	:	US
Telephone Number	:	727-450-0700
Fax Number	:	727-450-0710

Provider Business Practice Location Address
First Line	:	407 N BELCHER RD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-2607
Country	:	US
Telephone Number	:	727-450-0700
Fax Number	:	727-450-0710

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	JOHN T DICK SR.
Credential	:
Telephone Number	:	727-450-0700

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	03/07/2023

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