Organization
FLORIDA INTEGRATED HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIOLA ADEYEMO (OWNER)
(813) 719-3278
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
3336L0003X
Long Term Care Pharmacy
Primary
PH22531
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5710024
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/23/2012
Last updated
03/17/2018
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