Healthcare Provider Details

I. General information

NPI: 1174517452
Provider Name (Legal Business Name): BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2005
Last Update Date: 08/19/2022
Certification Date: 08/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

376 NORTHLAKE BLVD STE 1008
ALTAMONTE SPRINGS FL
32701-5261
US

IV. Provider business mailing address

376 NORTHLAKE BLVD
ALTAMONTE SPRINGS FL
32701-5261
US

V. Phone/Fax

Practice location:
  • Phone: 888-292-0744
  • Fax: 800-269-5493
Mailing address:
  • Phone: 407-830-8820
  • Fax: 800-269-5493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberPH10680
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH10680
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPH10680
License Number StateFL

VIII. Authorized Official

Name: DR. ELVIN MONTANEZ
Title or Position: COO
Credential: PHARMD
Phone: 407-830-8820