Provider Demographics
NPI:1114081346
Name:LINCARE INC.
Entity Type:Organization
Organization Name:LINCARE INC.
Other - Org Name:UNITED MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GABOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-431-8215
Mailing Address - Street 1:19387 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-3102
Mailing Address - Country:US
Mailing Address - Phone:727-431-8110
Mailing Address - Fax:877-524-9504
Practice Address - Street 1:2480 S FRONTAGE RD
Practice Address - Street 2:STE F
Practice Address - City:VICKSBURG
Practice Address - State:MS
Practice Address - Zip Code:39180-5251
Practice Address - Country:US
Practice Address - Phone:601-636-0505
Practice Address - Fax:601-636-9996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0294030834Medicare NSC