MEDICARE: OXYPROS, 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	332BX2000X	Oxygen Equipment & Supplies (DME)	14794	FL

General Provider Information

NPI Number	:	1790918191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OXYPROS, INC.

Provider Business Mailing Address
First Line	:	2157 SE OCEAN BLVD
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34996-3305
Country	:	US
Telephone Number	:	772-223-2824
Fax Number	:	772-223-2825

Provider Business Practice Location Address
First Line	:	1701 SE TIFFANY AVE
Second Line	:	SUITE 103
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-7576
Country	:	US
Telephone Number	:	772-878-4142
Fax Number	:	772-337-9899

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MR. JAMES ROSS WESTCOTT
Credential	:	RRT
Telephone Number	:	772-223-2824

Provider Enumeration Date	:	09/01/2009
Last Update Date	:	09/01/2009

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