MEDICARE: PROMPTCARE FLORIDA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
3	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1114923075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROMPTCARE FLORIDA, INC.

Provider Business Mailing Address
First Line	:	3402 SW 26TH TER STE B03
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-5071
Country	:	US
Telephone Number	:	954-923-4693
Fax Number	:	954-923-4699

Provider Business Practice Location Address
First Line	:	3402 SW 26TH TER STE B03
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-5071
Country	:	US
Telephone Number	:	954-923-4693
Fax Number	:	954-923-4699

Authorized Official
Title or Position	:	CHIEF COMPLIANCE OFFICER
Name	:	STEPHEN A LARIVIERE
Credential	:
Telephone Number	:	866-776-6782

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	08/08/2024

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