Healthcare Provider Details

I. General information

NPI: 1043408560
Provider Name (Legal Business Name): LINCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2007
Last Update Date: 10/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 W 3RD ST UNIT 2
MOSCOW ID
83843-2284
US

IV. Provider business mailing address

19387 US HIGHWAY 19 N
CLEARWATER FL
33764-3102
US

V. Phone/Fax

Practice location:
  • Phone: 208-882-1847
  • Fax: 208-882-1910
Mailing address:
  • Phone: 727-431-8110
  • Fax: 877-524-9504

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 Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: GREG MCCARTHY
Title or Position: COO
Credential:
Phone: 727-530-7700