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NPI Code Detail

MEDICARE: SUNCOAST MEDICARE SUPPLY CO. INC.

MEDICARE: SUNCOAST MEDICARE SUPPLY CO. 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
1332BX2000XOxygen Equipment & Supplies (DME)32:00281FL
2332B00000XDurable Medical Equipment & Medical Supplies210FL

General Provider Information

NPI Number : 1619933348
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNCOAST MEDICARE SUPPLY CO. INC.
Provider Business Mailing Address
First Line : 929 TYRONE BLVD N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33710-6332
Country : US
Telephone Number : 727-821-7015
Fax Number : 727-894-6182
Provider Business Practice Location Address
First Line : 830 49TH ST N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33710-6612
Country : US
Telephone Number : 727-821-7015
Fax Number : 727-894-6182
Authorized Official
Title or Position : PRESIDENT CFO
Name : MR. BARRY E BALDWIN
Credential :
Telephone Number : 727-821-7015
Provider Enumeration Date : 04/21/2006
Last Update Date : 08/27/2024

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Directions to “SUNCOAST MEDICARE SUPPLY CO. INC. ” Practice Location

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