Healthcare Provider Details
I. General information
NPI: 1588672117
Provider Name (Legal Business Name): LINCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2006
Last Update Date: 09/03/2021
Certification Date: 09/03/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
405 N DATE ST STE 5
TRUTH OR CONSEQUENCES NM
87901-2377
US
IV. Provider business mailing address
19387 US HIGHWAY 19 N
CLEARWATER FL
33764-3102
US
V. Phone/Fax
- Phone: 505-894-2789
- Fax: 505-894-1997
- Phone: 727-431-8110
- Fax: 877-524-9504
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GREG
MCCARTHY
Title or Position: CHIEF OPERATIONS OFFICER
Credential:
Phone: 727-530-7700