Provider Demographics
NPI:1184280836
Name:TEAM ADAPTIVE INC
Entity type:Organization
Organization Name:TEAM ADAPTIVE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTTY
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:SCHONEWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-388-5700
Mailing Address - Street 1:978 TOMMY MUNRO DR
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-2130
Mailing Address - Country:US
Mailing Address - Phone:228-388-5700
Mailing Address - Fax:228-385-2237
Practice Address - Street 1:3618 N PACE BLVD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32505-4240
Practice Address - Country:US
Practice Address - Phone:850-332-1688
Practice Address - Fax:850-332-1689
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEAM ADAPTIVE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-17
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies