Provider Demographics
NPI:1821433376
Name:MEDICOR HEALTHCARE, INC
Entity Type:Organization
Organization Name:MEDICOR HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:813-930-8000
Mailing Address - Street 1:33853 STATE ROAD 54
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33543-9175
Mailing Address - Country:US
Mailing Address - Phone:813-930-8000
Mailing Address - Fax:813-930-8026
Practice Address - Street 1:33853 STATE ROAD 54
Practice Address - Street 2:SUITE 101
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33543-9175
Practice Address - Country:US
Practice Address - Phone:813-930-8000
Practice Address - Fax:813-930-8026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-09
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies