MEDICARE: MED EXPERTS OF TAMPA, 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	1835P1200X	Pharmacotherapy Pharmacist	PS 26743	FL

General Provider Information

NPI Number	:	1316943780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED EXPERTS OF TAMPA, INC.

Provider Business Mailing Address
First Line	:	329 BATH CLUB BLVD S
Second Line	:
City	:	NORTH REDINGTON BEACH
State	:	FL
Zip	:	33708-1533
Country	:	US
Telephone Number	:	727-599-3919
Fax Number	:

Provider Business Practice Location Address
First Line	:	329 BATH CLUB BLVD S
Second Line	:
City	:	NORTH REDINGTON BEACH
State	:	FL
Zip	:	33708-1533
Country	:	US
Telephone Number	:	727-599-3919
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. NGA ECKSTEIN
Credential	:	RPH.
Telephone Number	:	727-599-3919

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	08/22/2020

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