MEDICARE: TITALOS MANAGEMENT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BC3200X	Customized Equipment (DME)
3	332BD1200X	Dialysis Equipment & Supplies (DME)
4	332BN1400X	Nursing Facility Supplies (DME)
5	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
6	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1093872814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TITALOS MANAGEMENT

Provider Business Mailing Address
First Line	:	2166 JOG RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33415-6015
Country	:	US
Telephone Number	:	561-722-2272
Fax Number	:	561-649-1615

Provider Business Practice Location Address
First Line	:	2166 JOG RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33415-6015
Country	:	US
Telephone Number	:	561-722-2272
Fax Number	:	561-649-1615

Authorized Official
Title or Position	:	OWNER
Name	:	CRYSTAL MODRIC
Credential	:
Telephone Number	:	561-722-2272

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	09/11/2025

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