Healthcare Provider Details

I. General information

NPI: 1992817217
Provider Name (Legal Business Name): MANAGED HEALTHCARE SYSTEMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6301 NW 5TH WAY SUITE 5010
FT LAUDERDALE FL
33309-6131
US

IV. Provider business mailing address

6301 NW 5TH WAY SUITE 5010
FT LAUDERDALE FL
33309-6131
US

V. Phone/Fax

Practice location:
  • Phone: 800-851-1000
  • Fax:
Mailing address:
  • Phone: 800-851-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH13638
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License NumberPH13638
License Number StateFL

VIII. Authorized Official

Name: MR. RAMZI YACOUB
Title or Position: PHARMACY MANAGER
Credential:
Phone: 800-851-1000