NPI: 1588107411 · ORLANDO, FL 32809 · Community/Retail Pharmacy · NPI assigned 11/25/2016
| Authorized Official | KODE, BALA (PRESIDENT) |
| NPI Enumeration Date | 11/25/2016 |
Other providers sharing the same authorized official: KODE, BALA
| Provider | City | State | Total Paid |
|---|---|---|---|
| OLYMPIA MEDICAL GROUP, LLC | DAVENPORT | FL | $77K |
| SUN HEALTH AND WELLNESS, INC | DAVENPORT | FL | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 45 | $0.00 |