Provider Demographics
NPI:1962646398
Name:TRITON MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:TRITON MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHESHIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-624-8980
Mailing Address - Street 1:PO BOX 6360
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-6360
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4221 SE 53RD AVE
Practice Address - Street 2:UNIT G
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34480-0657
Practice Address - Country:US
Practice Address - Phone:352-624-8980
Practice Address - Fax:352-624-8981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1313558332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6302660001Medicare NSC