Provider Demographics
NPI:1376026757
Name:LIFTUP NORTH AMERICA INC
Entity type:Organization
Organization Name:LIFTUP NORTH AMERICA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAELA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYWARD
Authorized Official - Suffix:
Authorized Official - Credentials:BASX
Authorized Official - Phone:844-543-8878
Mailing Address - Street 1:4809 EHRLICH RD STE 105
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-2073
Mailing Address - Country:US
Mailing Address - Phone:844-543-8878
Mailing Address - Fax:
Practice Address - Street 1:4809 EHRLICH RD STE 105
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-2073
Practice Address - Country:US
Practice Address - Phone:844-543-8878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies