Organization
FAMILY HOME MEDICAL EQUIPMENT & SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BURTON C ROSS (PRESIDENT)
(941) 624-0127
Entity
Organization
Contact information
Practice address
1825 TAMIAMI TRL, SUITE E1, PORT CHARLOTTE, FL 33948-1077
(941) 624-0127
(941) 624-6098
Mailing address
1825 TAMIAMI TRL, SUITE E1, PORT CHARLOTTE, FL 33948-1077
(941) 624-0127
(941) 624-6098
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1095
FLORIDA AGENCY FOR HEALTH
FL
Enumeration date
01/26/2006
Last updated
03/27/2008
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