Organization
PRO HOME MEDICAL EQUIPMENT, INC.
Active
Other names
Physical Rehab Products Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS PATRICK RODGERS JR. (OWNER)
(941) 365-1499
Entity
Organization
Contact information
Practice address
2187 SIESTA DRIVE, SARASOTA, FL 34239
(941) 365-1499
(941) 365-3929
Mailing address
2187 SIESTA DR, SARASOTA, FL 34239-5235
(941) 365-1499
(941) 365-3929
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
911
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026523300
—
FL
01
—
M2395
BCBS
FL
Enumeration date
08/28/2006
Last updated
04/28/2008
Update your record
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