Organization Name: | SUPERIOR PAIN THERAPY EQUIPMENT LLC |
NPI Number: | 1720319965 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL S VINCENT (MANAGING MEMBER) |
Mailing Address: | 25400 Us Highway 19 N Suite 136 Clearwater |
State: | FL US |
Postal Code: | 337632149 |
Phone Number: | 7274517872 |
Fax Number: | 7274517874 |
NPI Enumeration Date: | 01/28/2010 |
NPI Last Update Date: | 11/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |