Provider Demographics
NPI:1699017616
Name:BIOVENTURE MEDICAL LLC
Entity Type:Organization
Organization Name:BIOVENTURE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:TINSLEY
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:352-425-4918
Mailing Address - Street 1:3101 SW 34TH AVE
Mailing Address - Street 2:#905-433
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7447
Mailing Address - Country:US
Mailing Address - Phone:352-425-4918
Mailing Address - Fax:352-237-1936
Practice Address - Street 1:2685 SW 32ND PL
Practice Address - Street 2:SUITE 400
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7862
Practice Address - Country:US
Practice Address - Phone:352-425-4918
Practice Address - Fax:352-237-1936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies