Organization Name: | FAMILY HOME MEDICAL EQUIPMENT & SUPPLIES, LLC |
NPI Number: | 1104215433 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BURTON C ROSS (PRESIDENT) |
Mailing Address: | 1077 Innovation Ave Unit 105 North Port |
State: | FL US |
Postal Code: | 342899345 |
Phone Number: | 9416240127 |
Fax Number: | 9416246098 |
NPI Enumeration Date: | 01/09/2015 |
NPI Last Update Date: | 01/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1313208 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |