MEDICARE: CORNERSTONE VENTURES, 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	1312041	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	R8897	OTHER	FL	BCBS FLORIDA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992851497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORNERSTONE VENTURES, INC

Provider Business Mailing Address
First Line	:	8870 N HIMES AVE
Second Line	:	SUITE 203
City	:	TAMPA
State	:	FL
Zip	:	33614-1627
Country	:	US
Telephone Number	:	813-908-5032
Fax Number	:	813-908-7013

Provider Business Practice Location Address
First Line	:	5008 W LINEBAUGH AVE
Second Line	:	SUITE 22
City	:	TAMPA
State	:	FL
Zip	:	33624-5095
Country	:	US
Telephone Number	:	813-908-5032
Fax Number	:	813-908-7013

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BRADFORD DOUGLAS RAMPT
Credential	:	ATS
Telephone Number	:	813-310-5032

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	10/23/2007

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Directions to “CORNERSTONE VENTURES, INC ” Practice Location

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