=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366383424
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GITALIFERX LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/02/2026
-----------------------------------------------------
Last Update Date | 04/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1211 NE 4TH AVE FL 2
-----------------------------------------------------
City | FORT LAUDERDALE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33304-1924
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-723-9991
-----------------------------------------------------
Fax | 305-723-9992
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1211 NE 4TH AVE FL 2
-----------------------------------------------------
City | FORT LAUDERDALE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33304-1924
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-723-9991
-----------------------------------------------------
Fax | 305-723-9992
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | MR. ELAN KATZ
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 718-226-0446
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336S0011X
-----------------------------------------------------
Taxonomy Name | Specialty Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------