MEDICARE: NOVOPHARM OF TAMPA 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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1922996024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVOPHARM OF TAMPA LLC

Provider Business Mailing Address
First Line	:	5404 HOOVER BLVD STE 22
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-5351
Country	:	US
Telephone Number	:	133-749-3458
Fax Number	:

Provider Business Practice Location Address
First Line	:	3821 WOODBRIAR TRL STE 101
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-9615
Country	:	US
Telephone Number	:	813-374-9345
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF COMPLIANCE
Name	:	SERGIO RODRIGUEZ
Credential	:
Telephone Number	:	813-374-9345

Provider Enumeration Date	:	06/26/2025
Last Update Date	:	04/14/2026

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1043556624 — DR. BRITTNEY TATTERSALL MURRAY PSYD
Practice Location Address:

3821 WOODBRIAR TRL STE 105
PORT ORANGE, FL
32129-9615

Practice Phone: 312-978-7848
Practice Fax:

1871337345 — BRAIN HEALTH SOLUTIONS, LLC
Practice Location Address:

3821 WOODBRIAR TRL STE 105
PORT ORANGE, FL
32129-9615

Practice Phone: 312-978-7848
Practice Fax:

1932919420 — TINA WERTMAN DC
Practice Location Address:

3821 WOODBRIAR TRL STE 103
PORT ORANGE, FL
32129-9615

Practice Phone: 386-265-1579
Practice Fax:

1609710201 — CARING HEARTS OF VOLUSIA COUNTY, LLC.
Practice Location Address:

226 WINDSOR DR
PORT ORANGE, FL
32129-4046

Practice Phone: 386-248-7116
Practice Fax:

1528756426 — DR. SADAF SALEHI QESHMI
Practice Location Address:

938 BRIDGEWATER DR
PORT ORANGE, FL
32129-6108

Practice Phone: 386-597-1265
Practice Fax:

Directions to “NOVOPHARM OF TAMPA LLC ” 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.