Healthcare Provider Details

I. General information

NPI: 1790720977
Provider Name (Legal Business Name): METCARE RX ORANGE CITY PHARM SVC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2742 ENTERPRISE RD B
ORANGE CITY FL
32763-8353
US

IV. Provider business mailing address

2742 ENTERPRISE RD B
ORANGE CITY FL
32763-8353
US

V. Phone/Fax

Practice location:
  • Phone: 386-775-2255
  • Fax: 386-775-6773
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License NumberPH20835
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GINA HUNT
Title or Position: SENIOR VP CORP REVENUE
Credential:
Phone: 954-653-1040