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NPI Code Detail

MEDICARE: S & T ENTERPRISES OF TAMPA INC

MEDICARE: S & T ENTERPRISES OF TAMPA 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 Supplies1007FL

General Provider Information

NPI Number : 1477554749
Entity Type Code : Organization
Provider Name (Legal Business Name) : S & T ENTERPRISES OF TAMPA INC
Provider Business Mailing Address
First Line : 1189 BLACKWOOD AVE
Second Line :
City : OCOEE
State : FL
Zip : 34761-4518
Country : US
Telephone Number : 407-656-8008
Fax Number : 404-656-3664
Provider Business Practice Location Address
First Line : 1189 BLACKWOOD AVE
Second Line :
City : OCOEE
State : FL
Zip : 34761-4518
Country : US
Telephone Number : 407-656-8008
Fax Number : 404-656-3664
Authorized Official
Title or Position : PRESIDENT
Name : MR. MOJNIR M ITANI
Credential :
Telephone Number : 407-292-7500
Provider Enumeration Date : 08/09/2005
Last Update Date : 09/09/2011

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Directions to “S & T ENTERPRISES OF TAMPA INC ” 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.