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Organization
FLORIDA HEALTH CARE PLAN, INC
Active
Organization
FLORIDA HEALTH CARE PLAN, INC
Active
Other names
FLORIDA HEALTH CARE PLAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER J. SMITH (CMO)
(386) 615-5008
Entity
Organization
Contact information
Practice address
740 DUNLAWTON AVE, STE 150, PORT ORANGE, FL 32127-4239
(386) 767-0563
(386) 761-7095
Mailing address
2450 MASON AVE, DAYTONA BEACH, FL 32114-5110
(386) 615-5008
(386) 676-7165
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336M0003X
Managed Care Organization Pharmacy
Primary
PH23783
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004150
PK
—
Enumeration date
03/19/2007
Last updated
04/22/2025
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