=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528304532
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MEDGET
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/19/2012
-----------------------------------------------------
Last Update Date | 12/28/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5588 BROADCAST CT
-----------------------------------------------------
City | LAKEWOOD RANCH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34240-8471
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-993-7060
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7732 HEYWARD CIR
-----------------------------------------------------
City | UNIVERSITY PARK
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34201-2049
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-993-7060
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | DR. MORRIS ROBINSON
-----------------------------------------------------
Credential | PHARM D
-----------------------------------------------------
Telephone | 941-993-7060
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------