Healthcare Provider Details

I. General information

NPI: 1386758977
Provider Name (Legal Business Name): PARTWHEEL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3872 TAMIAMI TRL SUITE E
PORT CHARLOTTE FL
33952-8463
US

IV. Provider business mailing address

3872 TAMIAMI TRL SUITE E
PORT CHARLOTTE FL
33952-8463
US

V. Phone/Fax

Practice location:
  • Phone: 941-627-9400
  • Fax:
Mailing address:
  • Phone: 941-627-9400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number86
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number323133
License Number StateFL

VIII. Authorized Official

Name: MR. KEVIN HONIG
Title or Position: PRESIDENT
Credential:
Phone: 941-627-9400