Organization Name: | PUBLIX SUPER MARKETS INC |
NPI Number: | 1538109970 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACQUELINE RUSCH (MANAGER OF MANAGED CARE) |
Mailing Address: | 24123 Peachland Blvd Port Charlotte |
State: | FL US |
Postal Code: | 339543774 |
Phone Number: | 9416275704 |
Fax Number: | 9416251986 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 08/03/2015 |
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 |