DEGC ENTERPRISES (U.S.), INC.

Provider Demographics

• NPI: 1295827780
• Name: DEGC ENTERPRISES (U.S.), INC.
• Entity type: Organization
• Organization Name: DEGC ENTERPRISES (U.S.), INC.
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: CFO
• Authorized Official - First Name: THOMAS
• Authorized Official - Last Name: HOFMEISTER
• Authorized Official - Phone: 972-628-2100
• Mailing Address - Street 1: 160 FOUNTAIN PKWY N STE 200
• Mailing Address - City: ST PETERSBURG
• Mailing Address - State: FL
• Mailing Address - Zip Code: 33716-1411
• Mailing Address - Country: US
• Mailing Address - Phone: 972-628-2100
• Practice Address - Street 1: 14255 49TH ST N STE 301
• Practice Address - City: CLEARWATER
• Practice Address - State: FL
• Practice Address - Zip Code: 33762-2813
• Practice Address - Country: US
• Practice Address - Phone: 888-308-8882
• EIN: <UNAVAIL>
• Is Organization Subpart?: Yes
• Parent Organization LBN: DEGC ENTERPRISES (U.S.), INC.
• Parent Organization TIN: <UNAVAIL>
• Enumeration Date: 2006-09-29
• Last Update Date: 2025-04-22

Provider Licenses

State	License ID	Taxonomies
FL	PH16544	333600000X
		332B00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	332B00000X	Suppliers	Durable Medical Equipment & Medical Supplies
No	333600000X	Suppliers	Pharmacy

Provider Identifiers

State	Identifier ID	ID Type	Issuer
NJ	0249777	Medicaid
CA	1295827780	Medicaid
OR	270170	Medicaid
TN	4582026	Medicaid
KY	7100128580	Medicaid
HI	010855	Medicaid
IA	0206057	Medicaid
VT	1021718	Medicaid
MT	1295827780	Medicaid
UT	1295827780	Medicaid
TX	166539001	Medicaid
LA	2410695	Medicaid
ID	80856330	Medicaid
NM	0000S2341	Medicaid
GA	003115482A	Medicaid
PA	0071099160002	Medicaid
FL	031053100	Medicaid
FL	031053101	Medicaid
WA	2008599	Medicaid
MS	00475041	Medicaid
CT	008051699	Medicaid
AL	009974245	Medicaid
NE	100263167-00	Medicaid
MI	4661820	Medicaid
GA	000697903C	Medicaid
MO	1295827780	Medicaid
AR	133815741	Medicaid
OH	2620435	Medicaid
MA	110120704A	Medicaid
AK	1584294	Medicaid
KS	200641630A	Medicaid
NH	3088307	Medicaid
MD	418555200	Medicaid
MD	418557900	Medicaid
WI	81811200	Medicaid
DC	019655038	Medicaid
NY	03214239	Medicaid
AZ	095938	Medicaid
IL	1295827780	Medicaid
ND	1452096	Medicaid
KS	200641680A	Medicaid
KY	7100071860	Medicaid
GA	000697903A	Medicaid
ME	1295827780	Medicaid
DE	200135239	Medicaid
IN	200170920A	Medicaid
OK	200485810A	Medicaid
OK	200485810B	Medicaid
CO	21134880	Medicaid
SC	7F6544	Medicaid