Provider Demographics
NPI:1255606828
Name:FLORIDA HOSPITAL DME/RT, LLC
Entity type:Organization
Organization Name:FLORIDA HOSPITAL DME/RT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-660-1122
Mailing Address - Street 1:2450 MAITLAND CENTER PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4140
Mailing Address - Country:US
Mailing Address - Phone:407-660-1122
Mailing Address - Fax:407-660-9597
Practice Address - Street 1:2250 HUFFSTETLER DR
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-5264
Practice Address - Country:US
Practice Address - Phone:352-253-3880
Practice Address - Fax:352-253-3888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies