Provider Demographics
NPI:1265660526
Name:P&K MEDICAL SUPPLIES & EQUIPMENT, INC.
Entity Type:Organization
Organization Name:P&K MEDICAL SUPPLIES & EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-441-4245
Mailing Address - Street 1:1000 S FORT HARRISON AVE STE C
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3906
Mailing Address - Country:US
Mailing Address - Phone:727-441-4245
Mailing Address - Fax:727-441-4245
Practice Address - Street 1:1000 S FORT HARRISON AVE STE C
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3906
Practice Address - Country:US
Practice Address - Phone:727-441-4245
Practice Address - Fax:727-441-4245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies