Healthcare Provider Details
I. General information
NPI: 1053249714
Provider Name (Legal Business Name): AMERICAN RELIEF CARELINE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4813 RIVER HILLS DR
TAMPA FL
33617-6925
US
IV. Provider business mailing address
4813 RIVER HILLS DR
TAMPA FL
33617-6925
US
V. Phone/Fax
- Phone: 305-393-8880
- Fax:
- Phone: 305-393-8880
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FREDRICK
WILLIAMS
Title or Position: OWNER
Credential:
Phone: 305-393-8880