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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