MEDICARE: SOMNOMEDICS MEDICAL 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	1313075	FL

General Provider Information

NPI Number	:	1679666226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOMNOMEDICS MEDICAL EQUIPMENT LLC

Provider Business Mailing Address
First Line	:	1323 W FLETCHER AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612
Country	:	US
Telephone Number	:	800-797-7533
Fax Number	:

Provider Business Practice Location Address
First Line	:	1323 W FLETCHER AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612
Country	:	US
Telephone Number	:	800-797-7533
Fax Number	:

Authorized Official
Title or Position	:	VP OF BUSINESS OPERATIONS
Name	:	ERICA WILLIAMS
Credential	:
Telephone Number	:	800-797-7533

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	08/18/2011

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