Healthcare Provider Details

I. General information

NPI: 1720351786
Provider Name (Legal Business Name): HOVEROUND CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2012
Last Update Date: 07/03/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 SPACE PARK S SPACE PARK SOUTH SERVICE CENTER #2
NASHVILLE TN
37211-3113
US

IV. Provider business mailing address

6015 31ST ST E STE 201
BRADENTON FL
34203-5317
US

V. Phone/Fax

Practice location:
  • Phone: 941-782-6622
  • Fax: 800-337-0424
Mailing address:
  • Phone: 941-739-6200
  • Fax: 800-337-0424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0000000476
License Number StateTN

VIII. Authorized Official

Name: ADAM J FRERICHS
Title or Position: CEO
Credential:
Phone: 941-739-6200