Provider Demographics
NPI:1891275590
Name:LINCARE INC
Entity Type:Organization
Organization Name:LINCARE INC
Other - Org Name:J & L MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DELEGATED OFFICIAL /COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MORNING
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:727-431-8278
Mailing Address - Street 1:19387 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-3102
Mailing Address - Country:US
Mailing Address - Phone:727-431-8278
Mailing Address - Fax:
Practice Address - Street 1:199 PARK ROAD EXT STE A
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:CT
Practice Address - Zip Code:06762-1833
Practice Address - Country:US
Practice Address - Phone:866-757-4991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCSW.0001472332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0294031168OtherMEDICARE