Healthcare Provider Details

I. General information

NPI: 1558692228
Provider Name (Legal Business Name): FUTURE HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2010
Last Update Date: 02/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8147 COPERNICUS WAY STE 101
TRINITY FL
34655-1796
US

IV. Provider business mailing address

8147 COPERNICUS WAY STE 101
TRINITY FL
34655-1796
US

V. Phone/Fax

Practice location:
  • Phone: 727-375-9999
  • Fax: 727-375-5552
Mailing address:
  • Phone: 727-375-9999
  • Fax: 727-375-5552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH 24365
License Number StateFL

VIII. Authorized Official

Name: NIEMAT HASHIM
Title or Position: PRESIDENT
Credential:
Phone: 813-451-4665