Healthcare Provider Details

I. General information

NPI: 1821094533
Provider Name (Legal Business Name): HEALTHSTAT O2 INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10461 75TH ST
LARGO FL
33777-1417
US

IV. Provider business mailing address

10461 75TH ST
LARGO FL
33777-1417
US

V. Phone/Fax

Practice location:
  • Phone: 727-545-4788
  • Fax: 727-545-4790
Mailing address:
  • Phone:
  • Fax:

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: MR. SCOTT A ZEPP
Title or Position: PRESIDENT
Credential:
Phone: 727-545-4788