Provider Demographics
NPI:1952387698
Name:OXYGEN EXPRESS INCORPORATED
Entity Type:Organization
Organization Name:OXYGEN EXPRESS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROMIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-293-0000
Mailing Address - Street 1:147 AVENUE A SE
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-6302
Mailing Address - Country:US
Mailing Address - Phone:863-293-0000
Mailing Address - Fax:863-293-0014
Practice Address - Street 1:147 AVENUE A SE
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-6302
Practice Address - Country:US
Practice Address - Phone:863-293-0000
Practice Address - Fax:863-293-0014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-15
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312605332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5437610001Medicare NSC