Provider Demographics
NPI:1851323661
Name:MEDCARE LLC
Entity Type:Organization
Organization Name:MEDCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KRONEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-968-3555
Mailing Address - Street 1:PO BOX 93580
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33804-3580
Mailing Address - Country:US
Mailing Address - Phone:813-245-4496
Mailing Address - Fax:813-920-0228
Practice Address - Street 1:15511 N FLORIDA AVE
Practice Address - Street 2:SUITE B2A
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-1263
Practice Address - Country:US
Practice Address - Phone:813-968-3555
Practice Address - Fax:813-920-0228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies