MEDICARE: HOME PATIENT SUPPLY 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	3100027431	FL

General Provider Information

NPI Number	:	1538178694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME PATIENT SUPPLY INC

Provider Business Mailing Address
First Line	:	4018 S SEMORAN BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-4062
Country	:	US
Telephone Number	:	407-657-0629
Fax Number	:	321-397-2189

Provider Business Practice Location Address
First Line	:	4018 S SEMORAN BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-4062
Country	:	US
Telephone Number	:	407-657-0629
Fax Number	:	321-397-2189

Authorized Official
Title or Position	:	OWNER CFO
Name	:	MRS. BINETTE ESPINEL
Credential	:
Telephone Number	:	407-657-0629

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	07/23/2009

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Directions to “HOME PATIENT SUPPLY INC ” Practice Location

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