Healthcare Provider Details

I. General information

NPI: 1700184702
Provider Name (Legal Business Name): POLYPILL BILLING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2011
Last Update Date: 03/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2202 N WEST SHORE BLVD SUITE #200
TAMPA FL
33607-5747
US

IV. Provider business mailing address

2202 N WEST SHORE BLVD SUITE #200
TAMPA FL
33607-5747
US

V. Phone/Fax

Practice location:
  • Phone: 813-639-7535
  • Fax: 813-600-3284
Mailing address:
  • Phone: 813-639-7535
  • Fax: 813-600-3284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. CHARLES SERAYDAR
Title or Position: COO
Credential:
Phone: 813-639-7535