Provider Demographics
NPI:1114922804
Name:MEDASSIST-OP INC
Entity Type:Organization
Organization Name:MEDASSIST-OP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURTZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-342-4432
Mailing Address - Street 1:13560 WRIGHT CIR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-3028
Mailing Address - Country:US
Mailing Address - Phone:813-342-4432
Mailing Address - Fax:813-342-4415
Practice Address - Street 1:13560 WRIGHT CIR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-3028
Practice Address - Country:US
Practice Address - Phone:813-342-4432
Practice Address - Fax:813-342-4415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0266860001Medicare ID - Type Unspecified