Healthcare Provider Details

I. General information

NPI: 1902802788
Provider Name (Legal Business Name): COMFORT MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2005
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 PARK BLVD SUITE 501
PINELLAS PARK FL
33781-3782
US

IV. Provider business mailing address

8100 PARK BLVD SUITE 501
PINELLAS PARK FL
33781
US

V. Phone/Fax

Practice location:
  • Phone: 727-517-4440
  • Fax: 727-517-4446
Mailing address:
  • Phone: 727-517-4440
  • Fax: 727-517-4446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number1663
License Number StateFL

VIII. Authorized Official

Name: JERRY A DOORN
Title or Position: PRESIDENT
Credential:
Phone: 727-517-4440