Organization
FLORIDA HEALTH CARE PLAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER J. SMITH (CMO)
(386) 615-5008
Entity
Organization
Contact information
Practice address
707 PLATINUM PT, LAKE MARY, FL 32746-5702
(407) 732-7950
(407) 732-7956
Mailing address
2450 MASON AVE, DAYTONA BEACH, FL 32114-5110
(386) 615-5008
(386) 676-7165
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
Primary
PH27410
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146251
PK
—
Enumeration date
03/07/2014
Last updated
04/22/2025
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