Carl D Acquaviva
Carl D Acquaviva is a Durable Medical Equipment & Medical Supplies in Palm Bay, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
1555 Port Malabar Blvd NE Unit 101Palm Bay, FL 32905-5407
Phone: (321) 725-7188
Fax: (321) 728-1333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence PH10316 (FL) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1013928514 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carl Acquaviva — Owner Pharmacist · (321) 725-7188 |
| Other names | Acquaviva'S Pharmacy |
| NPI enumerated | August 10, 2006 |
| Last updated in NPPES | April 2, 2009 |
| Mailing address | 1555 Port Malabar Blvd Ne, Unit 101, Palm Bay, FL 32905-5407 |
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-
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