Provider Demographics
NPI:1750391702
Name:FLORIDA OXYGEN & HOME MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:FLORIDA OXYGEN & HOME MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERNA
Authorized Official - Middle Name:C
Authorized Official - Last Name:STANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-493-0047
Mailing Address - Street 1:120 RODGERS BLVD
Mailing Address - Street 2:
Mailing Address - City:CHIEFLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32626-1420
Mailing Address - Country:US
Mailing Address - Phone:352-493-0047
Mailing Address - Fax:352-493-0405
Practice Address - Street 1:120 ROGERS BLVD
Practice Address - Street 2:
Practice Address - City:CHIEFLAND
Practice Address - State:FL
Practice Address - Zip Code:32626-1420
Practice Address - Country:US
Practice Address - Phone:352-493-0047
Practice Address - Fax:352-493-0405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3202757332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL026411300Medicaid
FLR9480OtherBCBSOFFL
FL026411300Medicaid