OrganizationActive
Deltona Pharmacy of Florida, LLC
NPI 1164408860 · Pharmacy · Bonita Springs, FL
Deltona Pharmacy of Florida, LLC is a Pharmacy organization in Bonita Springs, FL (NPI 1164408860).
Provider details
- NPI number
- 1164408860
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Carlos Randulfe, Managing Member(239) 317-0771
- License
- PH24105 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
25987 S Tamiami Trl Ste 102
Bonita Springs, FL 34134-7807
Phone: (239) 317-0771
Fax: (386) 574-1489
Street-level locationGet directions
Mailing address
25987 S Tamiami Trl Ste 102
Bonita Springs, FL 34134-7807
Registry dates
- Enumerated
- 2005-12-15
- Last updated
- 2020-12-22
- Certified
- 2020-12-22
Frequently asked questions
- What is Deltona Pharmacy of Florida, LLC's NPI number?
- Deltona Pharmacy of Florida, LLC's National Provider Identifier (NPI) is 1164408860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Deltona Pharmacy of Florida, LLC?
- Deltona Pharmacy of Florida, LLC is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Deltona Pharmacy of Florida, LLC located?
- Deltona Pharmacy of Florida, LLC's practice location on file with NPPES is 25987 S Tamiami Trl Ste 102, Bonita Springs, FL 34134-7807.
- What is Deltona Pharmacy of Florida, LLC's phone number?
- The practice phone number listed in the NPPES registry for Deltona Pharmacy of Florida, LLC is (239) 317-0771.
- Who is the authorized official for Deltona Pharmacy of Florida, LLC?
- The authorized official listed on Deltona Pharmacy of Florida, LLC's NPPES record is Carlos Randulfe, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Deltona Pharmacy of Florida, LLC's NPI active?
- Yes — Deltona Pharmacy of Florida, LLC's NPI (1164408860) is active in the NPPES registry as of the last update on 2020-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.