Advance Florida Medical Supplies Inc D/B/a Advance Florida Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH 24169 Issued in FL

Legal business name

ADVANCE FLORIDA MEDICAL SUPPLIES INC D/B/A ADVANCE FLORIDA PHARMACY

Practice address

490 Opa Locka Blvd
10
Opa Locka, FL 33054-3563

Phone

(305) 685-5854

Fax

(305) 681-4339

NPI assigned

Feb 21, 2007

Last updated

Oct 21, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Livio Martinez

Title

President

Phone

(305) 685-5854

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1083759559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 OPA LOCKA BLVD",
            "address_2": "10",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543563",
            "telephone_number": "305-685-5854",
            "fax_number": "305-685-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 OPA LOCKA BLVD",
            "address_2": "10",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543563",
            "telephone_number": "305-685-5854",
            "fax_number": "305-681-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE FLORIDA MEDICAL SUPPLIES INC D/B/A ADVANCE FLORIDA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LIVIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-685-5854"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH 24169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Opa Locka, FL
• Providers in Opa Locka, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.