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Organization

LINCARE PULMONARY REHAB SERVICES OF MISSOURI, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN NANNIE (AUTHORIZED OFFICIAL)
(727) 530-7700
Entity
Organization

Contact information

Practice address
10994 HISTORIC HIGHWAY 165, STE C, HOLLISTER, MO 65672-6234
(417) 334-1532
Mailing address
19387 US HIGHWAY 19 N, CLEARWATER, FL 33764-3102
(727) 431-8261
(877) 408-4602

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
11/20/2012
Last updated
12/04/2014
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