Provider Demographics
NPI: | 1891855664 |
---|---|
Name: | LINCARE INC |
Entity Type: | Organization |
Organization Name: | LINCARE INC |
Other - Org Name: | PEDIATRIC SPECIALISTS |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | CFO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | PAUL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | GABOS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 727-431-8215 |
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: | 727-431-8110 |
Mailing Address - Fax: | 877-524-9504 |
Practice Address - Street 1: | 325 S RIVER ST |
Practice Address - Street 2: | |
Practice Address - City: | HACKENSACK |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 07601-6671 |
Practice Address - Country: | US |
Practice Address - Phone: | 201-968-0041 |
Practice Address - Fax: | 201-968-0049 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-12-11 |
Last Update Date: | 2007-11-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NJ | 0294030890 | Medicare NSC |