Healthcare Provider Details

I. General information

NPI: 1528311370
Provider Name (Legal Business Name): TOXPLUS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2012
Last Update Date: 10/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8930 W STATE ROAD 84 SUITE 222
DAVIE FL
33324-4456
US

IV. Provider business mailing address

8930 W STATE ROAD 84 SUITE 222
DAVIE FL
33324-4456
US

V. Phone/Fax

Practice location:
  • Phone: 949-829-1123
  • Fax:
Mailing address:
  • Phone: 949-829-1123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: GARY W MOUNCE
Title or Position: VP
Credential:
Phone: 949-829-1123