Provider Demographics
NPI:1477164283
Name:FLORIDA HOSPITAL DME/RT, LLC
Entity Type:Organization
Organization Name:FLORIDA HOSPITAL DME/RT, LLC
Other - Org Name:ADVENTHEALTH RESPIRATORY AND EQUIPMENT FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-818-7665
Mailing Address - Street 1:500 WINDERLEY PL STE 226
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7407
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1801 S NOVA RD STE 105
Practice Address - Street 2:
Practice Address - City:SOUTH DAYTONA
Practice Address - State:FL
Practice Address - Zip Code:32119-1767
Practice Address - Country:US
Practice Address - Phone:407-830-1938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLORIDA HOSPITAL DME/RT, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-14
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies