Healthcare Provider Details

I. General information

NPI: 1861604654
Provider Name (Legal Business Name): T&T PHARMACY/DME CONSULTING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 06/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3651 TURTLE RUN BLVD 821
CORAL SPRINGS FL
33067-4208
US

IV. Provider business mailing address

3651 TURTLE RUN BLVD 821
CORAL SPRINGS FL
33067-4208
US

V. Phone/Fax

Practice location:
  • Phone: 754-245-8883
  • Fax:
Mailing address:
  • Phone: 754-245-8883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: TREPHENE C BROWN
Title or Position: PRESIDENT
Credential:
Phone: 754-245-8883