MEDICARE: FIRST CARE MEDICAL SUPPLIES 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	:	1720619398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CARE MEDICAL SUPPLIES INC

Provider Business Mailing Address
First Line	:	1230 MARINER BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-5657
Country	:	US
Telephone Number	:	352-515-6250
Fax Number	:

Provider Business Practice Location Address
First Line	:	1230 MARINER BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-5657
Country	:	US
Telephone Number	:	352-515-6250
Fax Number	:	352-600-7197

Authorized Official
Title or Position	:	OWNER
Name	:	WALTER SZYDLOWSKI
Credential	:
Telephone Number	:	352-515-6250

Provider Enumeration Date	:	01/31/2020
Last Update Date	:	09/03/2020

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