Organization
PREVENT RX 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBIORIX MORA ESTEVEZ (OWNER)
(201) 927-9776
Entity
Organization
Contact information
Practice address
3677 CENTRAL AVE STE A, FORT MYERS, FL 33901-8226
(239) 243-9025
(877) 470-9723
Mailing address
17389 TYLER AVE, PORT CHARLOTTE, FL 33948-1302
(239) 243-9025
(877) 470-9723
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG715
—
FL
Enumeration date
02/13/2020
Last updated
03/04/2026
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