Healthcare Provider Details

I. General information

NPI: 1457396376
Provider Name (Legal Business Name): MRB ACQUISITION CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1898 S CLYDE MORRIS BLVD SUITE 410
DAYTONA BEACH FL
32119-1584
US

IV. Provider business mailing address

19387 US HIGHWAY 19 N
CLEARWATER FL
33764-3102
US

V. Phone/Fax

Practice location:
  • Phone: 866-387-2668
  • Fax: 386-254-2844
Mailing address:
  • Phone: 727-530-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number8519
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number32:04483
License Number StateFL

VIII. Authorized Official

Name: JEFFREY BARNHARD
Title or Position: CEO
Credential: AO
Phone: 727-530-7700