Organization
LARJAR
Active
Other names
ProCare, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
CORTLAND REILLY (CEO)
(813) 769-3890
Entity
Organization
Contact information
Practice address
4710 EISENHOWER BLVD STE C2, TAMPA, FL 33634-6334
(813) 769-3880
(813) 769-3883
Mailing address
4710 EISENHOWER BLVD, STE C-2, TAMPA, FL 33511
(813) 769-3886
(813) 769-3883
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
172A00000X
Driver
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
332S00000X
Hearing Aid Equipment
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
347E00000X
Transportation Broker
Primary
P07000002637
FL
Other
Enumeration date
04/19/2013
Last updated
07/22/2025
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