MEDICARE: COMFORT MEDICAL, 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)	1663	FL

General Provider Information

NPI Number	:	1902802788
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT MEDICAL, INC.

Provider Business Mailing Address
First Line	:	8100 PARK BLVD
Second Line	:	SUITE 501
City	:	PINELLAS PARK
State	:	FL
Zip	:	33781
Country	:	US
Telephone Number	:	727-517-4440
Fax Number	:	727-517-4446

Provider Business Practice Location Address
First Line	:	8100 PARK BLVD
Second Line	:	SUITE 501
City	:	PINELLAS PARK
State	:	FL
Zip	:	33781-3782
Country	:	US
Telephone Number	:	727-517-4440
Fax Number	:	727-517-4446

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JERRY A DOORN
Credential	:
Telephone Number	:	727-517-4440

Provider Enumeration Date	:	06/25/2005
Last Update Date	:	04/09/2008

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