Provider Demographics
NPI:1225237100
Name:SPRINGFIELD DEVELOPMENT COMPANY
Entity Type:Organization
Organization Name:SPRINGFIELD DEVELOPMENT COMPANY
Other - Org Name:PRO OXYGEN PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-321-6800
Mailing Address - Street 1:5528 HAINES RD N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33714-0000
Mailing Address - Country:US
Mailing Address - Phone:727-321-6800
Mailing Address - Fax:
Practice Address - Street 1:5528 HAINES RD N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33714-0000
Practice Address - Country:US
Practice Address - Phone:727-321-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL326578332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5942890001Medicare NSC