Provider Demographics
NPI:1578983920
Name:OXYPROS, INC
Entity Type:Organization
Organization Name:OXYPROS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:VERONICA
Authorized Official - Last Name:WESTCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-223-2825
Mailing Address - Street 1:645 NW ENTERPRISE DR
Mailing Address - Street 2:UNIT 101
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-2261
Mailing Address - Country:US
Mailing Address - Phone:772-223-2825
Mailing Address - Fax:772-223-2824
Practice Address - Street 1:5300 S US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34982-7368
Practice Address - Country:US
Practice Address - Phone:772-223-2825
Practice Address - Fax:772-223-2824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-24
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1313922332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies