1760588727 NPI number — LINCARE INC.

Table of content: MR. DAVID ALAN DEMARTINI RPH (NPI 1356433387)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760588727 NPI number — LINCARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LINCARE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760588727
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/23/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19387 US HIGHWAY 19 N
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLEARWATER
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33764-3102
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-284-2006
Provider Business Mailing Address Fax Number:
877-524-9504

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14231 SEAWAY RD
Provider Second Line Business Practice Location Address:
STE D2 & D3
Provider Business Practice Location Address City Name:
GULFPORT
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39503-4628
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
228-865-9547
Provider Business Practice Location Address Fax Number:
228-865-4425
Provider Enumeration Date:
09/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCCARTHY
Authorized Official First Name:
GREGORY
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF OPERATIONS OFFICER
Authorized Official Telephone Number:
727-530-7700

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00440809 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".




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