Provider Demographics
NPI:1942412051
Name:JB HINTON ENTERPRISES INC
Entity Type:Organization
Organization Name:JB HINTON ENTERPRISES INC
Other - Org Name:HEARTFELT MEDICAL SERVICE AND SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:JERMAINE
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-214-4509
Mailing Address - Street 1:7165 ULMERTON RD
Mailing Address - Street 2:SUTIE A
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771
Mailing Address - Country:US
Mailing Address - Phone:727-214-4509
Mailing Address - Fax:727-524-3520
Practice Address - Street 1:7165 ULMERTON RD
Practice Address - Street 2:SUTIE A
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771
Practice Address - Country:US
Practice Address - Phone:727-214-4509
Practice Address - Fax:727-524-3520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR9993OtherBCBS
FLR9993OtherBCBS
FL6010850001Medicare NSC