Provider Demographics
NPI:1699839357
Name:DLT HOME OXYGEN INC
Entity Type:Organization
Organization Name:DLT HOME OXYGEN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:ESCOBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-427-6590
Mailing Address - Street 1:411 SE 82ND PL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480-5731
Mailing Address - Country:US
Mailing Address - Phone:800-749-2019
Mailing Address - Fax:800-688-7706
Practice Address - Street 1:3925 SE 45TH CT
Practice Address - Street 2:STE F
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34480-7431
Practice Address - Country:US
Practice Address - Phone:800-749-2019
Practice Address - Fax:800-688-7706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL213332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0231650001Medicare NSC