Provider Demographics
NPI:1578597415
Name:OXYGEN SUPPORT SERVICES, INC
Entity Type:Organization
Organization Name:OXYGEN SUPPORT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:COPPETT
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:727-327-7133
Mailing Address - Street 1:PO BOX 15732
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33733-5732
Mailing Address - Country:US
Mailing Address - Phone:727-327-7133
Mailing Address - Fax:727-327-6633
Practice Address - Street 1:3425 11TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-5407
Practice Address - Country:US
Practice Address - Phone:727-327-7133
Practice Address - Fax:727-327-6633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL582332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1045110001Medicare ID - Type UnspecifiedDURABLE MEDICAL EQUIPMENT