Organization
FITTE ENTERPRISES, INC.
Active
Other names
CRD Medservices, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARK FITTE (OWNER)
(757) 343-9649
Entity
Organization
Contact information
Practice address
29291 TRIBUNE BLVD, UNIT 2-3, PUNTA GORDA, FL 33955-2216
(941) 575-2407
(941) 575-4820
Mailing address
29291 TRIBUNE BLVD, UNIT 2-3, PUNTA GORDA, FL 33955-2216
(941) 575-2407
(941) 575-4820
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25093
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5704071
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/14/2011
Last updated
02/14/2011
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