FLORIDA HEALTH CARE PLAN INC NPI 1164546875

NPI Information

  • NPI: 1164546875
  • Provider Name: FLORIDA HEALTH CARE PLAN, INC
  • Classification: Pharmacy - 3336M0003X
  • Specialization: Managed Care Organization Pharmacy
  • Entity Type: Organization
  • :
  • CLIA Number: 10D2181923
  • Address: 740 DUNLAWTON AVE
    STE 150
    PORT ORANGE, FL
    ZIP 32127
  • Phone: (386) 767-0563

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NPI Details

FLORIDA HEALTH CARE PLAN, INC is a managed care organization pharmacy pharmacy in Port Orange, FL. The provider is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. FLORIDA HEALTH CARE PLAN, INC NPI is 1164546875. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

740 DUNLAWTON AVE
STE 150
PORT ORANGE, FL
ZIP 32127-239
Phone: (386) 767-0563
Fax: (386) 761-7095

The provider's authorized official is Christopher J. Smith .
The authorized official title is Cmo and has the following contact phone number (386) 615-5008.

The CLIA number assigned to this NPI record is 10D2181923 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 4/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336M0003XPharmacyManaged Care Organization PharmacyPH23783FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12004150OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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