MEDICARE: JOVID HEALTHCARE SOLUTIONS, LLC

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	13494	FL

General Provider Information

NPI Number	:	1497757975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOVID HEALTHCARE SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	9803 GINGERWOOD DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-1844
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9803 GINGERWOOD DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-1844
Country	:	US
Telephone Number	:	813-340-8581
Fax Number	:	813-920-6470

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	DR. ERIC GOLDSTEIN
Credential	:	PHARMD
Telephone Number	:	813-340-8581

Provider Enumeration Date	:	08/13/2005
Last Update Date	:	11/16/2007

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