Organization
FLORIDA HEALTH CARE PLAN, INC.
Active
Other names
FLORIDA HEALTH CARE PLANS PHARMACY-TITUSVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER J SMITH (CMO)
(386) 615-5008
Entity
Organization
Contact information
Practice address
1021 S WASHINGTON AVE, TITUSVILLE, FL 32780-8404
(321) 567-7500
(321) 567-7501
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
PH28639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148444
PK
—
Enumeration date
10/17/2014
Last updated
04/22/2025
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