Healthcare Provider Details

I. General information

NPI: 1295827780
Provider Name (Legal Business Name): DEGC ENTERPRISES (U.S.), INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14255 49TH ST N STE 301
CLEARWATER FL
33762-2813
US

IV. Provider business mailing address

160 FOUNTAIN PKWY N STE 200
ST PETERSBURG FL
33716-1411
US

V. Phone/Fax

Practice location:
  • Phone: 888-308-8882
  • Fax:
Mailing address:
  • Phone: 972-628-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH16544
License Number StateFL

VIII. Authorized Official

Name: THOMAS HOFMEISTER
Title or Position: CFO
Credential:
Phone: 972-628-2100