NPI: 1265065783 · FORT MYERS, FL 33901 · Specialty Pharmacy · NPI assigned 02/13/2020
| Authorized Official | MORA ESTEVEZ, AMBIORIX (OWNER) |
| NPI Enumeration Date | 02/13/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,806 | $561.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 1,806 | 1,790 | $561.60 |