Organization
FLORIDA INTEGRATED HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAIDEE ADEYEMO BSN RN (V-PRESIDENT)
(813) 679-0133
Entity
Organization
Contact information
Practice address
1905 W BAKER ST STE B, PLANT CITY, FL 33563-1601
(813) 719-3278
(813) 754-7540
Mailing address
3202 W BAKER ST, PLANT CITY, FL 33563-2849
(813) 704-6857
(813) 756-6938
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH22531
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031992900
—
FL
01
—
2008656
PK
—
Enumeration date
02/13/2007
Last updated
10/30/2019
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