Provider Demographics
NPI:1639129927
Name:FLORIDA PALLIATIVE EQUIPMENT, LLC
Entity Type:Organization
Organization Name:FLORIDA PALLIATIVE EQUIPMENT, LLC
Other - Org Name:ACCENT MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LLC MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:POE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-873-7434
Mailing Address - Street 1:PO BOX 4860
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-4860
Mailing Address - Country:US
Mailing Address - Phone:352-873-7434
Mailing Address - Fax:352-873-7435
Practice Address - Street 1:2891 SE 62ND ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34480-8025
Practice Address - Country:US
Practice Address - Phone:352-622-7260
Practice Address - Fax:352-622-9649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1701332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL025496700Medicaid
FL4707760001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER