Organization
PROFESSIONAL PRODUCTS AND SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY JAMES HALL (PRESIDENT)
(863) 421-9400
Entity
Organization
Contact information
Practice address
2704 ROOKS RD, DAVENPORT, FL 33837-9620
(863) 240-0422
(863) 421-9410
Mailing address
2704 ROOKS RD, DAVENPORT, FL 33837-9620
(863) 240-0422
(863) 421-9410
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
63-00-105098-80-6
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6405040001
MEDICARE PTAN
FL
Enumeration date
10/18/2007
Last updated
08/04/2023
About Stedi
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