Organization
MEDI HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SLAMA (PRESIDENT)
(863) 686-0300
Entity
Organization
Contact information
Practice address
401 BARTOW RD, LAKELAND, FL 33801-5461
(863) 686-0300
Mailing address
401 BARTOW RD, LAKELAND, FL 33801-5461
(863) 686-0300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027182900
—
FL
01
—
1028132
UNITED HEALTHCARE
FL
01
—
227395
AMERIGROUP
FL
01
—
229271100
US DEPARTMENT OF LABOR
FL
01
—
R4465
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
06/14/2005
Last updated
05/17/2011
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