Blacksheep Medical LLC
Blacksheep Medical LLC is a Non-Pharmacy Dispensing Site in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2013.
- Licensed in
- FL
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1425 Hand Ave Ste LOrmond Beach, FL 32174-1135
Phone: (386) 256-3977
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence OS8215 (FL) |
|---|
Record details
| NPI number | 1992134712 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Medvantx, Inc |
| Authorized official | Kenny Heine — Vp Of Operations · (858) 964-1506 |
| NPI enumerated | November 2, 2013 |
| Last updated in NPPES | November 2, 2013 |
| Mailing address | 5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705 |
Other providers in Ormond Beach
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Advanced Pain Management Inc
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-
Ormond Medical Arts
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-
Ormond Medical Arts
1400 Hand Ave Ste I, Ormond Beach, FL 32174-8195 · (386) 673-0517