# PANTHER MEDICAL, INC.

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

## Provider details

- **NPI number:** 1891788899
- **Authorized official:** DAVID RANDAZZO (OPERATIONS MANAGER)
- **Authorized official phone:** (813) 639-9221

## Contact information

- **Practice address:** 405 N REO ST, SUITE 100, TAMPA, FL 33609-1060
- **Practice address phone:** (813) 639-9221
- **Practice address fax:** (813) 288-9838
- **Mailing address:** 405 N REO ST, SUITE 100, TAMPA, FL 33609-1060
- **Mailing address phone:** (813) 639-9221
- **Mailing address fax:** (813) 288-9838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 8510 | FL | Yes |

## Other

- **Enumeration date:** 08/24/2005
- **Last updated:** 05/25/2016