Healthcare Provider Details

I. General information

NPI: 1477046084
Provider Name (Legal Business Name): US MED, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2018
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8491 NW 17TH ST STE 102
DORAL FL
33126-1025
US

IV. Provider business mailing address

8491 NW 17TH ST STE 102
DORAL FL
33126-1025
US

V. Phone/Fax

Practice location:
  • Phone: 305-436-6033
  • Fax: 614-495-5446
Mailing address:
  • Phone: 305-436-6033
  • Fax: 614-495-5446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License NumberPH23521
License Number StateFL

VIII. Authorized Official

Name: ANTHONY ALVAREZ
Title or Position: SVP, OPERATIONS
Credential:
Phone: 216-233-2994