Organization
MRB ACQUISITION CORP
Active
Other names
Lincare Powered Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BARNHARD AO (CEO)
(727) 530-7700
Entity
Organization
Contact information
Practice address
1898 S CLYDE MORRIS BLVD, SUITE 410, DAYTONA BEACH, FL 32119-1584
(866) 387-2668
(386) 254-2844
Mailing address
19387 US HIGHWAY 19 N, CLEARWATER, FL 33764-3102
(727) 530-7700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
8519
FL
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
32:04483
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022929600
—
FL
05
—
027940
—
OR
05
—
1014691930001
—
PA
05
—
121378400
—
WY
05
—
200070320A
—
OK
05
—
342165100
—
MN
05
—
5607416
—
MT
05
—
807182800
—
ID
01
—
9266409 AND TAX ID
AETNA
—
05
—
DE2695
—
SC
01
—
R9241
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
06/17/2006
Last updated
10/21/2025
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