Organization
VITAL CARE OF NORTH FLORIDA, INC.
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
WILBURN TURNER DAVIS (MANAGER)
(850) 668-9109
Entity
Organization
Contact information
Practice address
1891 CAPITAL CIR NE STE 12, TALLAHASSEE, FL 32308-4486
(850) 668-9109
(850) 219-0282
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH 16329
FL
332BC3200X
Customized Equipment (DME)
PH 16329
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PH 16329
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
PH 16329
FL
333600000X
Pharmacy
PH 16329
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH 16329
FL
3336H0001X
Home Infusion Therapy Pharmacy
PH 16329
FL
3336L0003X
Long Term Care Pharmacy
PH 16329
FL
3336M0002X
Mail Order Pharmacy
PH 16329
FL
3336S0011X
Specialty Pharmacy
PH 16329
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1085477
NCPDP #
FL
01
—
P7904
BCBS
FL
Enumeration date
08/29/2006
Last updated
03/07/2023
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