Organization
HEALTHDYNE SPECIALTY FLORIDA, LLC
Active
Other names
HealthDyne Specialty Pharmacy, HealthDyne Specialty / WellDyne Specialty, US Specialty Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP BISESI (SENIOR VICE PRESIDENT & SECRETARY)
(863) 583-6248
Entity
Organization
Contact information
Practice address
500 EAGLES LANDING DR STE A, LAKELAND, FL 33810-2899
(800) 641-8475
(800) 530-8589
Mailing address
500 EAGLES LANDING DR, LAKELAND, FL 33810-2899
(888) 479-2000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
A9-0001725
DE
3336C0003X
Community/Retail Pharmacy
1319
ND
3336C0003X
Community/Retail Pharmacy
1768
CA
3336C0003X
Community/Retail Pharmacy
28RO00121700
NJ
3336C0003X
Community/Retail Pharmacy
400-1460
SD
3336C0003X
Community/Retail Pharmacy
51336
WY
3336C0003X
Community/Retail Pharmacy
5301011271
MI
3336C0003X
Community/Retail Pharmacy
MO0561091
WV
3336C0003X
Community/Retail Pharmacy
PH28952
FL
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015585000
—
FL
01
—
2150750
PK
—
Enumeration date
03/02/2015
Last updated
08/12/2025
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