Organization Name: | SAMSON MERGER SUB, LLC |
NPI Number: | 1982026662 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | M. SANDLIN GRIMM (SECRETARY) |
Mailing Address: | 1254 Jacaranda Blvd Venice |
State: | FL US |
Postal Code: | 342924508 |
Phone Number: | 9047835578 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2014 |
NPI Last Update Date: | 12/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | PH27929 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |