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ANCILLARY MD CORP NPI 1417367574


NPI Information

NPI: 1417367574
Provider Name: ANCILLARY MD CORP
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
10948 N 56TH ST STE 202
TEMPLE TERRACE, FL
ZIP 33617
Phone: (813) 985-8513
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ANCILLARY MD CORP is a non pharmacy dispensing site in Temple Terrace, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) ANCILLARY MD CORP NPI is 1417367574. The provider is registered as an organization entity type.

The provider's business location address is:

10948 N 56TH ST STE 202
TEMPLE TERRACE, FL
ZIP 33617-001
Phone: (813) 985-8513
Fax: (813) 436-5523

The provider's authorized official is Kurt Schroeder .
The authorized official title is Owner and has the following contact phone number (813) 985-8533.

The enumeration date for this NPI number is 4/29/2014 and was last updated on 11/6/2014.


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
1332900000XNon-Pharmacy Dispensing SiteYes

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: 5/5/2024

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