MEDICARE: SPRINGFIELD DEVELOPMENT COMPANY

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	332BX2000X	Oxygen Equipment & Supplies (DME)	326578	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

General Provider Information

NPI Number	:	1225237100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRINGFIELD DEVELOPMENT COMPANY

Provider Business Mailing Address
First Line	:	5528 HAINES RD N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33714-0000
Country	:	US
Telephone Number	:	727-321-6800
Fax Number	:

Provider Business Practice Location Address
First Line	:	5528 HAINES RD N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33714-0000
Country	:	US
Telephone Number	:	727-321-6800
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN C GARCIA
Credential	:
Telephone Number	:	727-321-6800

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	08/29/2013

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Directions to “SPRINGFIELD DEVELOPMENT COMPANY ” Practice Location

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