MEDICARE: DISPENSING PHYSICIAN CONSULTANTS

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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1730036914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISPENSING PHYSICIAN CONSULTANTS

Provider Business Mailing Address
First Line	:	4900 LINTON BLVD STE 21
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6687
Country	:	US
Telephone Number	:	561-455-0090
Fax Number	:	561-455-0091

Provider Business Practice Location Address
First Line	:	4900 LINTON BLVD STE 21
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6687
Country	:	US
Telephone Number	:	561-455-0090
Fax Number	:	561-455-0091

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	PROKOPIOS PANAGAKOS
Credential	:
Telephone Number	:	561-921-2025

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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