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General NPI Number Information
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NPI Number | 1942522180
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Entity Type | Organization
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Legal Business Name | DIRECT MEDS OF FLORIDA LLC
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Dates
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Enumeration Date | 02/15/2010
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 800 E HALLANDALE BEACH BLVD STE 18
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4476
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Country | US
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Telephone | 954-454-8118
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Fax | 954-454-9898
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Provider Business Mailing Address
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Address Line | 800 E HALLANDALE BEACH BLVD STE 18
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4476
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Country | US
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Telephone | 954-454-8118
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Fax | 954-454-9898
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Authorized Official
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Title or Position | OWNER
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Name | DIANA GRIMBERG
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Credential |
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Telephone | 954-454-8118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH24459
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License Number State | FL
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