Organization
SUPERIAIRE OXYGEN & EQUIPMENT, INC.
Active
Other names
Shoreline Medical Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DENYSE M TRONG RRT (PRESIDENT/ OWNER)
(850) 769-0080
Entity
Organization
Contact information
Practice address
405 W OAK AVE, PANAMA CITY, FL 32401-2737
(850) 769-0080
(850) 785-3661
Mailing address
405 W OAK AVE, PANAMA CITY, FL 32401-2737
(850) 769-0080
(850) 785-3661
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1973
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025923300
—
FL
01
—
R9379
B/C B/S PROVIDER ID
FL
Enumeration date
09/17/2006
Last updated
12/10/2020
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