MEDICARE: FLORIDA PALLIATIVE EQUIPMENT, LLC

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	1701	FL

General Provider Information

NPI Number	:	1639129927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA PALLIATIVE EQUIPMENT, LLC

Provider Business Mailing Address
First Line	:	PO BOX 4860
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34478-4860
Country	:	US
Telephone Number	:	352-873-7434
Fax Number	:	352-873-7435

Provider Business Practice Location Address
First Line	:	2891 SE 62ND ST
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34480-8025
Country	:	US
Telephone Number	:	352-622-7260
Fax Number	:	352-622-9649

Authorized Official
Title or Position	:	LLC MANAGER
Name	:	MS. MARY ELLEN POE
Credential	:
Telephone Number	:	352-873-7434

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	04/18/2016

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