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NPI Code Detail

MEDICARE: HOME AGAIN OXYGEN AND MOBILITY PRODUCTS

MEDICARE: HOME AGAIN OXYGEN AND MOBILITY PRODUCTS
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
1332B00000XDurable Medical Equipment & Medical Supplies1651FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2R9401OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1114920410
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME AGAIN OXYGEN AND MOBILITY PRODUCTS
Provider Business Mailing Address
First Line : 25270 BERNWOOD DR
Second Line : UNIT 5
City : BONITA SPRINGS
State : FL
Zip : 34135-7897
Country : US
Telephone Number : 239-390-1077
Fax Number : 239-390-0444
Provider Business Practice Location Address
First Line : 25270 BERNWOOD DR
Second Line : UNIT 5
City : BONITA SPRINGS
State : FL
Zip : 34135-7897
Country : US
Telephone Number : 239-390-1077
Fax Number : 239-390-0444
Authorized Official
Title or Position : OWNER
Name : MR. RICHARD G HEADLEY
Credential :
Telephone Number : 239-390-1077
Provider Enumeration Date : 05/31/2005
Last Update Date : 06/07/2012

Similar Medicare Providers

1003811878 — PENELOPE MARSHALL M.S.W.
Practice Location Address:
9220 BONITA BEACH RD , STE 227
BONITA SPRINGS, FL
34135-4236
Practice Phone: 239-293-0122
Practice Fax:
1407851207 — KEITH FISHBEIN MD
Practice Location Address:
23831 MARBELLA BAY RD , SUITE 102
BONITA SPRINGS, FL
34135-1830
Practice Phone: 239-494-8404
Practice Fax:
1730185133 — SUZY LEE M.D.
Practice Location Address:
9411 FOUNTAIN MEDICAL CT , STE E100
BONITA SPRINGS, FL
34135-4625
Practice Phone: 239-221-8516
Practice Fax: 239-221-8787
1174521066 — BRIAN D LEE
Practice Location Address:
9240 BONITA BEACH RD SE , SUITE 2206
BONITA SPRINGS, FL
34135-4249
Practice Phone: 239-948-5505
Practice Fax:
1255330288 — DR. MYLES RUBIN SAMOTIN M.D.
Practice Location Address:
9240 BONITA BEACH RD SE STE 2200
BONITA SPRINGS, FL
34135-4251
Practice Phone: 239-514-4200
Practice Fax: 239-514-3373
1073515896 — MR. CHRIS LOUIS RIEGER C.O. L.O. ORTHOTIST
Practice Location Address:
24643 RED ROBIN DR
BONITA SPRINGS, FL
34135-7085
Practice Phone: 239-947-7906
Practice Fax: 239-947-7906

Directions to “HOME AGAIN OXYGEN AND MOBILITY PRODUCTS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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