Organization
FIRST PRIME MEDICAL CENTER INC
Active
Organization
FIRST PRIME MEDICAL CENTER INC
Active
Other names
FIRST PRIME MEDICAL CENTER,INC DBA INFUMED
Organization subpart
No
Provider details
NPI number
Authorized official
MADELYN RODRIGUEZ (PRESIDENT)
(305) 870-9393
Entity
Organization
Contact information
Practice address
6405 NW 36TH ST STE 113, VIRGINIA GARDENS, FL 33166-6977
(305) 870-9393
(305) 870-9373
Mailing address
6405 NW 36TH ST STE 113, VIRGINIA GARDENS, FL 33166-6977
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PH23631
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026244700
—
FL
01
—
1042148
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/12/2005
Last updated
02/11/2009
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