# PATRIOT MEDICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659862597
- **Authorized official:** MR. CHARLES RICHARD NEU (OWNER/PRESIDENT/CEO)
- **Authorized official phone:** (813) 679-0652

## Contact information

- **Practice address:** 5909 EGRET LANDING PL, LITHIA, FL 33547-3964
- **Practice address phone:** (813) 679-0652
- **Practice address fax:** (844) 349-5531
- **Mailing address:** 5909 EGRET LANDING PL, LITHIA, FL 33547-3964
- **Mailing address phone:** (813) 679-0652
- **Mailing address fax:** (844) 349-5531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/27/2018
- **Last updated:** 05/27/2018