Healthcare Provider Details

I. General information

NPI: 1801035118
Provider Name (Legal Business Name): PERSONAL HEALTHCARE PRODUCTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2009
Last Update Date: 01/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2092 SARNO RD
MELBOURNE FL
32935-3077
US

IV. Provider business mailing address

2092 SARNO RD
MELBOURNE FL
32935-3077
US

V. Phone/Fax

Practice location:
  • Phone: 321-255-9800
  • Fax: 321-751-1145
Mailing address:
  • Phone: 321-255-9800
  • Fax: 321-751-1145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL HENNESSY
Title or Position: PRESIDENT
Credential:
Phone: 321-255-9800