Provider Demographics
NPI:1902612138
Name:CAREPOINT FLORIDA LLC
Entity type:Organization
Organization Name:CAREPOINT FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CIO
Authorized Official - Prefix:
Authorized Official - First Name:PRITI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-237-9112
Mailing Address - Street 1:9 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5302
Mailing Address - Country:US
Mailing Address - Phone:855-237-9112
Mailing Address - Fax:855-237-9113
Practice Address - Street 1:4900 CREEKSIDE DR STE H
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-4041
Practice Address - Country:US
Practice Address - Phone:855-237-9112
Practice Address - Fax:855-237-9113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106762800Medicaid