Organization
MEDICOR HOMECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL DELGADO (ADMINISTRATOR)
(813) 930-8000
Entity
Organization
Contact information
Practice address
3403 W WATERS AVE, TAMPA, FL 33614-2765
(813) 930-8000
(813) 930-2131
Mailing address
PO BOX 850001, ORLANDO, FL 32885-0001
(800) 250-4468
(866) 930-8001
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1723
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266802
AMERIGROUP PROVIDER NUMBE
FL
Enumeration date
10/31/2006
Last updated
03/08/2012
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