Healthcare Provider Details

I. General information

NPI: 1306133517
Provider Name (Legal Business Name): TMRX VENTURES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2011
Last Update Date: 07/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10727 NARCOOSSEE RD STE B6
ORLANDO FL
32832-6943
US

IV. Provider business mailing address

10727 NARCOOSSEE RD STE B6
ORLANDO FL
32832-6943
US

V. Phone/Fax

Practice location:
  • Phone: 407-903-1544
  • Fax: 407-903-1520
Mailing address:
  • Phone: 407-903-1544
  • Fax: 407-903-1520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH25571
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: OSMAN HASSAN
Title or Position: OFFICE MANAGER
Credential:
Phone: 407-903-1544