MEDICARE: CMA MEDS, 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	332900000X	Non-Pharmacy Dispensing Site	ME88821	FL

General Provider Information

NPI Number	:	1306126701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CMA MEDS, INC

Provider Business Mailing Address
First Line	:	1000 PARK CENTRE BLVD
Second Line	:	SUITE 100
City	:	MIAMI
State	:	FL
Zip	:	33169-5373
Country	:	US
Telephone Number	:	305-621-0023
Fax Number	:	305-628-6121

Provider Business Practice Location Address
First Line	:	2150 W 68TH ST
Second Line	:	SUITE 200
City	:	HIALEAH
State	:	FL
Zip	:	33016-1802
Country	:	US
Telephone Number	:	305-827-2977
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	LEONOR ROSARIO
Credential	:
Telephone Number	:	305-628-6136

Provider Enumeration Date	:	08/17/2011
Last Update Date	:	08/17/2011

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