Florida Departmentof Children and Families

Organization Active NPI Community/Retail Pharmacy · Pembroke Pines, FL

NPI 1235150293 · NPPES record last updated Mar 8, 2010

Key facts

NPI
1235150293
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
PH16231 (FL)
Legal business name
FLORIDA DEPARTMENTOF CHILDREN AND FAMILIES
Practice address
800 E Cypress Dr
Pembroke Pines, FL 33025-4543
Phone
(954) 392-3027
Fax
(954) 392-3468
NPI assigned
Jul 22, 2006
Organization subpart
No

Authorized official

Name
Diane Funston
Title
Hosp Admin
Phone
(954) 392-3050

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
FL Department of Childr (9 organizations share this tax ID)

Locations

1317 Winewood Blvd
Ste 2
Tallahassee, FL 32399

Networks

  • Optimum HealthCare HMO Network
    Plans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO Network
    Plans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • HealthSun Health Plans Network

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH16231 FL Yes
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

800 E Cypress Dr
Pembroke Pines, FL 33025-4543

Mailing address

1317 Winewood Blvd BLDG 2
Office of Revenue Management, Attn: Velma Bryant
Tallahassee, FL 32399-0700
Phone (850) 921-8749

Other identifiers

IdentifierTypeStateIssuer
1018109OtherNCPDP PROVIDER IDENTIFICATION NUMBER
026004500MedicaidFL

Other names

  • S FL STATE HOSP Doing business as

Other providers in Pembroke Pines, FL

All providers in Pembroke Pines, FL · Community/Retail Pharmacy in Florida

Sources for this page

Verify at the official NPI Registry.