Organization
CAREMAX MEDICAL RESOURCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYANT MOSHANG (CONTROLLER)
(410) 910-1578
Entity
Organization
Contact information
Practice address
5910 BENJAMIN CENTER DR, SUITE 110, TAMPA, FL 33634-5240
(813) 887-4100
Mailing address
13111 COLLECTION CENTER DR, CHICAGO, IL 60693-0131
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1312764
FL
333600000X
Pharmacy
112679
AL
333600000X
Pharmacy
1964MS
ID
333600000X
Pharmacy
22-02344
KS
333600000X
Pharmacy
3604
IA
333600000X
Pharmacy
5301008460
MI
333600000X
Pharmacy
5590
CO
333600000X
Pharmacy
64000732A
IN
333600000X
Pharmacy
721
CT
333600000X
Pharmacy
A9-0000676
DE
333600000X
Pharmacy
FL1144
KY
333600000X
Pharmacy
P04376
MD
333600000X
Pharmacy
Primary
PH19929
FL
333600000X
Pharmacy
—
IL
333600000X
Pharmacy
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003348
NCPDP
FL
05
—
131252
—
AZ
05
—
580103
—
TX
Enumeration date
07/28/2006
Last updated
03/07/2023
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