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Organization

DIRECT MEDS OF FLORIDA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA GRIMBERG (OWNER)
(954) 454-8118
Entity
Organization

Contact information

Practice address
800 E HALLANDALE BEACH BLVD STE 18, HALLANDALE BEACH, FL 33009-4476
(954) 454-8118
(954) 454-9898
Mailing address
800 E HALLANDALE BEACH BLVD STE 18, HALLANDALE BEACH, FL 33009-4476
(954) 454-8118
(954) 454-9898

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PH24459
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001911100
FL
05
001911101
FL
01
2123855
PK
Enumeration date
02/15/2010
Last updated
01/30/2025
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