Provider Demographics
NPI:1841550019
Name:RELIANT HEALTH INCORPORATED
Entity type:Organization
Organization Name:RELIANT HEALTH INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:LANDA
Authorized Official - Suffix:
Authorized Official - Credentials:DBA
Authorized Official - Phone:813-480-4254
Mailing Address - Street 1:3423 WATERWOOD COURT
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-6179
Mailing Address - Country:US
Mailing Address - Phone:813-480-4254
Mailing Address - Fax:
Practice Address - Street 1:3423 WATERWOOD CT
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33596-6179
Practice Address - Country:US
Practice Address - Phone:813-480-4254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment