Healthcare Provider Details

I. General information

NPI: 1316943780
Provider Name (Legal Business Name): MED EXPERTS OF TAMPA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 BATH CLUB BLVD S
NORTH REDINGTON BEACH FL
33708-1533
US

IV. Provider business mailing address

329 BATH CLUB BLVD S
NORTH REDINGTON BEACH FL
33708-1533
US

V. Phone/Fax

Practice location:
  • Phone: 727-599-3919
  • Fax:
Mailing address:
  • Phone: 727-599-3919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS 26743
License Number StateFL

VIII. Authorized Official

Name: MRS. NGA ECKSTEIN
Title or Position: PRESIDENT
Credential: RPH.
Phone: 727-599-3919