Organization
DAVITA MEDICAL FLORIDA, INC.
Active
Other names
DaVita Medical Group, Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HILGER (CHIEF ACCOUNTING OFFICER)
(253) 973-0777
Entity
Organization
Contact information
Practice address
11920 SEMINOLE BLVD, LARGO, FL 33778-2803
(727) 828-0378
(727) 828-0390
Mailing address
10051 5TH STREET NORTH, ST. PETERSBURG, FL 33702-2299
(727) 828-0378
(727) 828-0390
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH20947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028343600
—
FL
01
—
2003983
PK
—
Enumeration date
12/11/2006
Last updated
05/10/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us