MEDICARE: COMFORT CARE MEDICAL SUPPLIES & RENTALS, LLC

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)	32-6748	FL
2	332B00000X	Durable Medical Equipment & Medical Supplies	1312143	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	R9620	OTHER	FL	BSBS FLORIDA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376586057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT CARE MEDICAL SUPPLIES & RENTALS, LLC

Provider Business Mailing Address
First Line	:	1665 N MAGNOLIA AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34475-9108
Country	:	US
Telephone Number	:	352-867-0202
Fax Number	:	352-291-0202

Provider Business Practice Location Address
First Line	:	1665 N MAGNOLIA AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34475-9108
Country	:	US
Telephone Number	:	352-867-0202
Fax Number	:	352-291-0202

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	JAMES ROBERT FLETCHER
Credential	:
Telephone Number	:	352-867-0202

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	10/23/2017

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Directions to “COMFORT CARE MEDICAL SUPPLIES & RENTALS, LLC ” Practice Location

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