Healthcare Provider Details

I. General information

NPI: 1710102322
Provider Name (Legal Business Name): MEDICAL AND PHARMACEUTICAL SERVICES OF FLORIDA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 78TH AVE SUITE 4
PINELLAS PARK FL
33781-2407
US

IV. Provider business mailing address

5100 78TH AVE SUITE 4
PINELLAS PARK FL
33781-2407
US

V. Phone/Fax

Practice location:
  • Phone: 727-548-7995
  • Fax: 727-548-7985
Mailing address:
  • Phone: 727-548-7995
  • Fax: 727-548-7985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK RAYMOND MIKLOS
Title or Position: PRESIDENT
Credential:
Phone: 727-548-7995