Healthcare Provider Details

I. General information

NPI: 1790926525
Provider Name (Legal Business Name): HSSCA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2009
Last Update Date: 03/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W DR MLK JR BLVD
TAMPA FL
33603-3449
US

IV. Provider business mailing address

601 W DR MLK JR BLVD
TAMPA FL
33603-3449
US

V. Phone/Fax

Practice location:
  • Phone: 800-705-0432
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: ROBERT DI CARLO
Title or Position: PRES.
Credential:
Phone: 800-705-0432