Provider Demographics
NPI:1407008352
Name:PRINCIPLE MEDICAL PRODUCTS, INC
Entity Type:Organization
Organization Name:PRINCIPLE MEDICAL PRODUCTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MABEL
Authorized Official - Middle Name:ROSA
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-289-6100
Mailing Address - Street 1:4323 W KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-2126
Mailing Address - Country:US
Mailing Address - Phone:813-289-6100
Mailing Address - Fax:813-289-6101
Practice Address - Street 1:4323 W KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2126
Practice Address - Country:US
Practice Address - Phone:813-289-6100
Practice Address - Fax:813-289-6101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL326697332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies