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FLORIDA HEALTH CARE PLAN INC NPI 1467964494


NPI Information

NPI: 1467964494
Provider Name: FLORIDA HEALTH CARE PLAN, INC

Doing Business As: FLORIDA HEALTH CARE PLANS PHARMACY-ST. AUGUSTINE

Classification: Pharmacy - 3336M0003X
Entity Type: Organization

Specialization: Managed Care Organization Pharmacy

CLIA Number: 10D0874760

Address:
200 SOUTHPARK BLVD STE 206
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 295-3677
Get Directions

FLORIDA HEALTH CARE PLAN, INC is a managed care organization pharmacy pharmacy in St Augustine, FL. The provider is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. FLORIDA HEALTH CARE PLAN, INC NPI is 1467964494. The provider is registered as an organization entity type.
The provider Is Doing Business As Florida Health Care Plans Pharmacy-st. Augustine.

The provider's business location address is:

200 SOUTHPARK BLVD STE 206
ST AUGUSTINE, FL
ZIP 32086-129
Phone: (904) 295-3677
Fax: (904) 295-3679

The provider's authorized official is David C Schandel .
The authorized official title is Ceo/president and has the following contact phone number (386) 676-7100.

The CLIA number assigned to this NPI record is 10D0874760 - health main. organization with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2017 and was last updated on 10/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336M0003XPharmacyManaged Care Organization PharmacyPH31002FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PH31002OTHERFLORIDASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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