Organization
ADVANCE FLORIDA MEDICAL SUPPLIES INC D/B/A ADVANCE FLORIDA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIVIO MARTINEZ (PRESIDENT)
(305) 685-5854
Entity
Organization
Contact information
Practice address
490 OPA LOCKA BLVD, 10, OPA LOCKA, FL 33054-3563
(305) 685-5854
(305) 681-4339
Mailing address
490 OPA LOCKA BLVD, 10, OPA LOCKA, FL 33054-3563
(305) 685-5854
(305) 685-5854
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PH 24169
FL
Other
Enumeration date
02/21/2007
Last updated
10/21/2009
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