Organization
NATIONAL HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN WADE (PRESIDENT)
(813) 615-1011
Entity
Organization
Contact information
Practice address
13211 N NEBRASKA AVE, SUITE G, TAMPA, FL 33612-2602
(813) 615-1011
(813) 615-1033
Mailing address
13211 N NEBRASKA AVE, SUITE G, TAMPA, FL 33612-2602
(813) 615-1011
(813) 615-1033
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
9376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9880
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/06/2007
Last updated
07/08/2010
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