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1326439563 NPI number — SUNBELT MEDICAL SUPPLY & OXYGEN, INC.

NPI Number: 1326439563
Health Care Provider/Practitioner: SUNBELT MEDICAL SUPPLY & OXYGEN, INC.

Information about “1326439563” NPI (SUNBELT MEDICAL SUPPLY & OXYGEN, INC.) exists in 1326439563 in HTML format HTML  |  1326439563 in plain Text format TXT  |  1326439563 in PDF (Portable Document Format) PDF  |  1326439563 in an XML format XML  formats.

NPI Number : 1326439563 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326439563",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "AEROCARE HOLDINGS LLC",
    "ParentOrgTIN": null,
    "OrgName": "SUNBELT MEDICAL SUPPLY & OXYGEN, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "555 E NORTH LN STE 5075",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CONSHOHOCKEN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19428-2490",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1226 WINTER GARDEN VINELAND RD STE 112",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WINTER GARDEN",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34787-4451",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-708-5554",
    "PracticeLocationAddressFaxNumber": "407-316-0133",
    "EnumerationDate": "02/10/2015",
    "LastUpdateDate": "10/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RUSSALESI",
    "AuthorizedOfficialFirstName": "WENDY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CCO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "484-246-9499",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BX2000X",
          "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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