| Organization Name: | LAKE CITY HOME MEDICAL EQUIPMENT, INC. |
| NPI Number: | 1548456957 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN MICHAEL BOWDOIN (OWNER/PRESIDENT) |
| Mailing Address: | 1468 Sw Main Blvd Suite 100 Lake City |
| State: | FL US |
| Postal Code: | 320251115 |
| Phone Number: | 3867525833 |
| Fax Number: | |
| NPI Enumeration Date: | 09/19/2007 |
| NPI Last Update Date: | 09/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 1313357 |
| 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 |