Healthcare Provider Details

I. General information

NPI: 1811873466
Provider Name (Legal Business Name): FLORIDA DEPARTMENT OF CORRECTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

FLORIDA DEPT OF CORRECTIONS -REGION III PHARMACY 11120 NW GAINESVILLE RD.
OCALA FL
34482
US

IV. Provider business mailing address

501 S. CALHOUN STREET FLORIDA DEPT OF CORRECTIONS ATTN: PHARMACY SERVICES
TALLAHASSEE FL
32399
US

V. Phone/Fax

Practice location:
  • Phone: 352-690-8920
  • Fax:
Mailing address:
  • Phone: 850-717-3287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. RENEA MARCANO
Title or Position: BUREAU CHIEF OF PHARMACEUTICAL SER
Credential: PHARMD
Phone: 850-717-3287