MEDICARE: HR MEDICAL GROUP 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1467954198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HR MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	1353 SCATTERED PINES PL
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-5746
Country	:	US
Telephone Number	:	813-409-1238
Fax Number	:

Provider Business Practice Location Address
First Line	:	1353 SCATTERED PINES PL
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-5746
Country	:	US
Telephone Number	:	813-409-1238
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT / OWNER
Name	:	HAITHAM KHALIL
Credential	:
Telephone Number	:	813-409-1238

Provider Enumeration Date	:	03/08/2018
Last Update Date	:	03/08/2018

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Directions to “HR MEDICAL GROUP INC ” Practice Location

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