MEDICARE: MED-ZONE INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	1001	FL

General Provider Information

NPI Number	:	1558311233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED-ZONE INC

Provider Business Mailing Address
First Line	:	2400B TAMIAMI TRL
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-3922
Country	:	US
Telephone Number	:	941-764-9566
Fax Number	:	941-764-0430

Provider Business Practice Location Address
First Line	:	2400B TAMIAMI TRL
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-3922
Country	:	US
Telephone Number	:	941-764-9566
Fax Number	:	941-764-0430

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	MR. JOSEPH MICHAEL LUKSHA JR.
Credential	:	PRESIDENT
Telephone Number	:	941-764-9566

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	08/31/2007

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