Healthcare Provider Details

I. General information

NPI: 1891855664
Provider Name (Legal Business Name): LINCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 11/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 S RIVER ST
HACKENSACK NJ
07601-6671
US

IV. Provider business mailing address

19387 US HIGHWAY 19 N
CLEARWATER FL
33764-3102
US

V. Phone/Fax

Practice location:
  • Phone: 201-968-0041
  • Fax: 201-968-0049
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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: PAUL GABOS
Title or Position: CFO
Credential:
Phone: 727-431-8215