Organization
MS SUPPLY & HOME HEALTH CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL A. SANTOS (PRESIDENT)
(813) 621-2001
Entity
Organization
Contact information
Practice address
500 E KENNEDY BLVD STE 411, TAMPA, FL 33602-4934
(813) 787-8375
(813) 701-9681
Mailing address
PO BOX 2642, BRANDON, FL 33509-2642
(813) 621-2001
(813) 621-2480
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
P02000003509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032330600
—
FL
Enumeration date
06/15/2006
Last updated
09/24/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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