Healthcare Provider Details

I. General information

NPI: 1306244686
Provider Name (Legal Business Name): CFP MEDICAL SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6804 ALOMA AVE
WINTER PARK FL
32792-6802
US

IV. Provider business mailing address

PO BOX 4490
WINTER PARK FL
32793-4490
US

V. Phone/Fax

Practice location:
  • Phone: 407-420-7996
  • Fax: 888-633-8920
Mailing address:
  • Phone: 407-420-7996
  • Fax: 888-633-8920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number28565
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28565
License Number StateFL

VIII. Authorized Official

Name: JONATHAN SUH
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 407-420-7996