MEDICARE: UNIVERSITY MEDICAL SERVICE ASSOCIATION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1073462628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY MEDICAL SERVICE ASSOCIATION INC

Provider Business Mailing Address
First Line	:	PO BOX 917770
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32891-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 DAVIS BLVD STE 100
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-3468
Country	:	US
Telephone Number	:	813-821-8821
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	RENEE M DUBAULT
Credential	:
Telephone Number	:	813-821-8038

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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