Provider Demographics
NPI:1154815793
Name:CROSS OVER PLUS
Entity Type:Organization
Organization Name:CROSS OVER PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:SCHWEICKERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-569-6617
Mailing Address - Street 1:2114 NECTAR CIR
Mailing Address - Street 2:
Mailing Address - City:ZELLWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32798-9735
Mailing Address - Country:US
Mailing Address - Phone:407-886-3588
Mailing Address - Fax:
Practice Address - Street 1:2114 NECTAR CIR
Practice Address - Street 2:
Practice Address - City:ZELLWOOD
Practice Address - State:FL
Practice Address - Zip Code:32798-9735
Practice Address - Country:US
Practice Address - Phone:407-886-3588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment