Healthcare Provider Details

I. General information

NPI: 1982830709
Provider Name (Legal Business Name): DATA NETWORK CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2009
Last Update Date: 06/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3118 GULF TO BAY BLVD SUITE 209
CLEARWATER FL
33759-4553
US

IV. Provider business mailing address

3118 GULF TO BAY BLVD SUITE 209
CLEARWATER FL
33759-4553
US

V. Phone/Fax

Practice location:
  • Phone: 813-299-7421
  • Fax: 813-333-7403
Mailing address:
  • Phone: 813-299-7421
  • Fax: 813-333-7403

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 Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. RENE RUIZ
Title or Position: DIRECTOR
Credential:
Phone: 813-299-7421