Healthcare Provider Details

I. General information

NPI: 1659356780
Provider Name (Legal Business Name): DAVIDSON HOME HEALTH EQUIPMENT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 09/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1281 S TAMIAMI TRL
SARASOTA FL
34239-2200
US

IV. Provider business mailing address

1281 S TAMIAMI TRL
SARASOTA FL
34239-2200
US

V. Phone/Fax

Practice location:
  • Phone: 941-365-7378
  • Fax: 941-953-4099
Mailing address:
  • Phone: 941-365-7378
  • Fax: 941-953-4099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT PRESTON DAVIDSON
Title or Position: OWNER
Credential:
Phone: 941-365-7378