Healthcare Provider Details

I. General information

NPI: 1356279632
Provider Name (Legal Business Name): CLINICMEDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 N PINE ISLAND RD STE 216
PLANTATION FL
33322-5223
US

IV. Provider business mailing address

5550 GLADES RD STE 635
BOCA RATON FL
33431-7270
US

V. Phone/Fax

Practice location:
  • Phone: 954-495-0008
  • Fax: 954-495-0008
Mailing address:
  • Phone: 954-495-0008
  • Fax: 866-365-3933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MARINA SERRI
Title or Position: MANAGER
Credential: RPH
Phone: 954-495-0008