MEDICARE: DAYEST MEDICAL SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH22275	FL

General Provider Information

NPI Number	:	1104844166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAYEST MEDICAL SERVICES INC

Provider Business Mailing Address
First Line	:	17356 S DIXIE HWY
Second Line	:
City	:	VILLAGE OF PALMETTO BAY
State	:	FL
Zip	:	33157-4319
Country	:	US
Telephone Number	:	305-255-5959
Fax Number	:	305-255-9991

Provider Business Practice Location Address
First Line	:	17356 S DIXIE HWY
Second Line	:
City	:	VILLAGE OF PALMETTO BAY
State	:	FL
Zip	:	33157-4319
Country	:	US
Telephone Number	:	305-255-5959
Fax Number	:	305-255-9991

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GUILLERMO GONZALEZ
Credential	:
Telephone Number	:	305-255-5959

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	06/01/2011

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Directions to “DAYEST MEDICAL SERVICES INC ” Practice Location

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