Organization
MATRIX MEDICAL LLC
Active
Parent organization
AEROCARE HOLDINGS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS LLC
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
2525 DRANE FIELD RD STE 1, LAKELAND, FL 33811-1360
(813) 759-2000
(888) 847-6875
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1312438
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030794700
—
FL
Enumeration date
08/07/2006
Last updated
10/15/2025
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