Organization Name: | PUBLIX SUPER MARKETS INC |
NPI Number: | 1295193498 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACQUELINE RUSCH (MANAGER OF MANAGED CARE) |
Mailing Address: | 12500 State Road 54 Odessa |
State: | FL US |
Postal Code: | 33556 |
Phone Number: | 8636881188 |
Fax Number: | 8636165846 |
NPI Enumeration Date: | 02/02/2016 |
NPI Last Update Date: | 04/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |