Provider Demographics
NPI:1659074953
Name:EVEXIA HEALTHCARE LLC
Entity Type:Organization
Organization Name:EVEXIA HEALTHCARE LLC
Other - Org Name:EVEXIA HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KONSTANTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBRIDIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-833-3867
Mailing Address - Street 1:3110 1ST AVE N STE 2M
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-8637
Mailing Address - Country:US
Mailing Address - Phone:813-833-3867
Mailing Address - Fax:
Practice Address - Street 1:3110 1ST AVE N STE 2M
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-8637
Practice Address - Country:US
Practice Address - Phone:813-833-3867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies