MEDICARE: PUBLIX

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	PS52695	FL
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

General Provider Information

NPI Number	:	1437553625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PUBLIX

Provider Business Mailing Address
First Line	:	4250 ALAFAYA TRL
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-9412
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4250 ALAFAYA TRL
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-9412
Country	:	US
Telephone Number	:	407-366-9720
Fax Number	:

Authorized Official
Title or Position	:	MANAGER OF MANAGED CARE
Name	:	DALE HOUSTON
Credential	:
Telephone Number	:	407-366-9720

Provider Enumeration Date	:	10/16/2014
Last Update Date	:	07/02/2021

Similar Medicare Providers

1487695979 — PUBLIX SUPER MARKETS INC
Practice Location Address:

4250 ALAFAYA TRL
OVIEDO, FL
32765-9412

Practice Phone: 407-366-9720
Practice Fax: 407-366-3292

1881759470 — DR. DAVID LACH D.D.S,M.S.,P.A.
Practice Location Address:

4250 ALAFAYA TRL , SUITE 180
OVIEDO, FL
32765-9412

Practice Phone: 407-359-1960
Practice Fax: 407-359-2958

1790022655 — DR. CHRISTOPHER JAMES LAURSEN PHARM D
Practice Location Address:

4250 ALAFAYA TRL
OVIEDO, FL
32765-9412

Practice Phone: 407-366-9720
Practice Fax: 407-366-3292

1174901938 — GARY ADAMS CCC-SLP
Practice Location Address:

4250 ALAFAYA TRL , SUITE 212-258
OVIEDO, FL
32765-9412

Practice Phone: 612-405-4279
Practice Fax: 678-536-1141

1669341327 — ANDREA BERDEJO-POSTIGO
Practice Location Address:

4250 ALAFAYA TRL STE 147
OVIEDO, FL
32765-9412

Practice Phone: 407-366-9720
Practice Fax:

1790104909 — DR. WILLIAM GARRETT WARRINGTON JR. PHD, APRN, FNP-C
Practice Location Address:

2959 ALAFAYA TRAIL , SUITE 117
OVIEDO, FL
32765-9482

Practice Phone: 407-506-4665
Practice Fax: 407-604-3067

Directions to “PUBLIX ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.