Provider Demographics
NPI:1861562225
Name:DOCTORS RX US, INC.
Entity type:Organization
Organization Name:DOCTORS RX US, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:MCGILL
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:813-935-7987
Mailing Address - Street 1:1010 E BUSCH BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-8502
Mailing Address - Country:US
Mailing Address - Phone:813-935-7987
Mailing Address - Fax:813-931-5215
Practice Address - Street 1:1010 E BUSCH BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-8502
Practice Address - Country:US
Practice Address - Phone:813-935-7987
Practice Address - Fax:813-931-5215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC4455261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME68820OtherMED. DIRECTOR'S STATE LIC
FLME68820OtherMED. DIRECTOR'S STATE LIC
FL41282BMedicare ID - Type UnspecifiedMEDICAL DIRECTOR'S ID