Provider Demographics
NPI:1891436200
Name:MEDICOR ASSOCIATES, LLC
Entity Type:Organization
Organization Name:MEDICOR ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-250-4468
Mailing Address - Street 1:PO BOX 1134
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-1046
Mailing Address - Country:US
Mailing Address - Phone:800-250-4468
Mailing Address - Fax:813-930-6220
Practice Address - Street 1:33853 SR 54 STE 101
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33543-9105
Practice Address - Country:US
Practice Address - Phone:800-250-4468
Practice Address - Fax:813-930-6220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies