Healthcare Provider Details

I. General information

NPI: 1164724779
Provider Name (Legal Business Name): CMA MEDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2010
Last Update Date: 12/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2845 AVENTURA BLVD SUITE 245
AVENTURA FL
33180-3118
US

IV. Provider business mailing address

1000 PARK CENTRE BLVD SUITE 100
MIAMI FL
33169-5373
US

V. Phone/Fax

Practice location:
  • Phone: 305-466-7333
  • Fax: 305-466-7363
Mailing address:
  • Phone: 305-621-0023
  • Fax: 305-623-9188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: MARY CHEN
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-621-0023