Organization
BECKER MEDICAL
Active
Other names
BlueSkye
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J. HIBNICK (PRESIDENT)
(941) 822-0707
Entity
Organization
Contact information
Practice address
1020 HONORE AVE, SARASOTA, FL 34232-3004
(941) 822-0707
(941) 847-0808
Mailing address
PO BOX 21441, SARASOTA, FL 34276-4441
(941) 822-0707
(941) 847-0808
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1313270
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R3940
BLUECROSSBLUESHIELDFL
FL
Enumeration date
05/14/2007
Last updated
03/05/2008
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