MEDICARE: WILLIAM MAC VANDERPOOL JR

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	332BC3200X	Customized Equipment (DME)	1312052	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	R9561	OTHER	FL	BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1194723049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM MAC VANDERPOOL JR

Provider Business Mailing Address
First Line	:	PO BOX 950
Second Line	:
City	:	AUBURNDALE
State	:	FL
Zip	:	33823-0950
Country	:	US
Telephone Number	:	863-595-1440
Fax Number	:	863-595-1441

Provider Business Practice Location Address
First Line	:	2860 LAKE ALFRED RD
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-1435
Country	:	US
Telephone Number	:	863-595-1440
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. WILLIAM MAC VANDERPOOL JR.
Credential	:
Telephone Number	:	863-595-1440

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	04/20/2017

Similar Medicare Providers

1629270491 — BOBS PHARMACY & DIABETIC SUPPLIES
Practice Location Address:

2860 HIGHWAY 17 NORTH
WINTER HAVEN, FL
33881-1435

Practice Phone: 863-293-6084
Practice Fax: 863-293-8307

1063044295 — REHAB MEDICAL, LLC
Practice Location Address:

2860 LAKE ALFRED RD
WINTER HAVEN, FL
33881-1435

Practice Phone: 863-595-1440
Practice Fax: 866-699-8201

1366500365 — SUSAN L O'NEAL LMT
Practice Location Address:

1435 HOWELL BRANCH RD , SUITE E.
WINTER PARK, FL
32789-1157

Practice Phone: 407-622-6244
Practice Fax:

1982765434 — DR. MELANIE RENE SCHAMP DDS
Practice Location Address:

1435 W FAIRBANKS AVE
WINTER PARK, FL
32789-4805

Practice Phone: 407-644-5627
Practice Fax: 407-644-6800

1518104587 — CARE HOME MEDICAL EQUIPMENT INC.
Practice Location Address:

1435 HOWELL BRANCH RD , SUITE F
WINTER PARK, FL
32789-1157

Practice Phone: 407-261-2273
Practice Fax:

1700198231 — DR. BRYANT MARSHALL ANDERSON D.M.D
Practice Location Address:

1435 HOWELL BRANCH RD
WINTER PARK, FL
32789-1157

Practice Phone: 407-644-5454
Practice Fax:

Directions to “WILLIAM MAC VANDERPOOL JR ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.