Healthcare Provider Details
I. General information
NPI: 1306841705
Provider Name (Legal Business Name): SLP INVESTMENTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/14/2005
Last Update Date: 04/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4005 20TH ST
VERO BEACH FL
32960-2403
US
IV. Provider business mailing address
4005 20TH ST
VERO BEACH FL
32960-2403
US
V. Phone/Fax
- Phone: 772-569-3797
- Fax: 772-567-1567
- Phone: 772-569-3797
- Fax: 772-567-1567
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 1094 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | 32:00057 |
| License Number State | FL |
VIII. Authorized Official
Name: MR.
JEREMY
D
LLOYD
Title or Position: GENERAL MANAGER
Credential:
Phone: 772-569-3797