Healthcare Provider Details

I. General information

NPI: 1841550019
Provider Name (Legal Business Name): RELIANT HEALTH INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2012
Last Update Date: 05/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3423 WATERWOOD CT
VALRICO FL
33596-6179
US

IV. Provider business mailing address

3423 WATERWOOD COURT
VALRICO FL
33596-6179
US

V. Phone/Fax

Practice location:
  • Phone: 813-480-4254
  • Fax:
Mailing address:
  • Phone: 813-480-4254
  • Fax:

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 Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL SCOTT LANDA
Title or Position: PRESIDENT
Credential: DBA
Phone: 813-480-4254