Provider Demographics
NPI:1689104754
Name:CAREMEDUSA LLC
Entity Type:Organization
Organization Name:CAREMEDUSA LLC
Other - Org Name:CAREMEDUSA
Other - Org Type:Other Name
Authorized Official - Title/Position:OUTSIDE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:EARL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-822-8110
Mailing Address - Street 1:12807 W HILLSBOROUGH AVE STE G
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33635-9650
Mailing Address - Country:US
Mailing Address - Phone:833-822-8110
Mailing Address - Fax:813-319-3441
Practice Address - Street 1:12807 W HILLSBOROUGH AVE STE G
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33635-9650
Practice Address - Country:US
Practice Address - Phone:833-822-8110
Practice Address - Fax:813-319-3441
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOLDING CORPORATION OF AMERICA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-12
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies