Provider Demographics
NPI:1235477019
Name:RIVERCROSSING DURABLE MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:RIVERCROSSING DURABLE MEDICAL EQUIPMENT LLC
Other - Org Name:RIVER CROSSING DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSSEF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-884-8200
Mailing Address - Street 1:5415 MARINER ST STE 103
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3413
Mailing Address - Country:US
Mailing Address - Phone:813-884-8200
Mailing Address - Fax:813-287-2222
Practice Address - Street 1:5415 MARINER ST STE 103
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3413
Practice Address - Country:US
Practice Address - Phone:813-884-8200
Practice Address - Fax:813-287-2222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies