Healthcare Provider Details

I. General information

NPI: 1881441848
Provider Name (Legal Business Name): HUNT CLUB DURABLE MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2024
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 S HUNT CLUB BLVD # 2001
APOPKA FL
32703-4947
US

IV. Provider business mailing address

425 S HUNT CLUB BLVD STE 2001
APOPKA FL
32703-4947
US

V. Phone/Fax

Practice location:
  • Phone: 407-786-4080
  • Fax:
Mailing address:
  • Phone: 407-598-6770
  • Fax: 407-598-6812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: CARLOS CHABAN
Title or Position: OWNER
Credential: MD
Phone: 407-598-6770