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NPI Code Detail

MEDICARE: CROWN CARE MEDICAL PRODUCTS, INC.

MEDICARE: CROWN CARE MEDICAL PRODUCTS, 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
1332B00000XDurable Medical Equipment & Medical Supplies1470FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
21326034638OTHERFLMEDICARE NPI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326034638
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROWN CARE MEDICAL PRODUCTS, INC.
Provider Business Mailing Address
First Line : 9132 SEMINOLE BLVD
Second Line :
City : SEMINOLE
State : FL
Zip : 33772-3148
Country : US
Telephone Number : 727-397-3776
Fax Number : 727-397-3851
Provider Business Practice Location Address
First Line : 9132 SEMINOLE BLVD
Second Line :
City : SEMINOLE
State : FL
Zip : 33772-3148
Country : US
Telephone Number : 727-397-3776
Fax Number : 727-397-3851
Authorized Official
Title or Position : VICE PRESIDENT
Name : MRS. HELEN E KNOUSE
Credential :
Telephone Number : 727-397-3776
Provider Enumeration Date : 09/22/2005
Last Update Date : 08/25/2011

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Directions to “CROWN CARE MEDICAL PRODUCTS, INC. ” Practice Location

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