National Provider Identifier Database

STATESERV MEDICAL OF FLORIDA LLC
Oxygen Equipment & Supplies


Contact Information

STATESERV MEDICAL OF FLORIDA, LLC
4213 RECKER HWY
WINTER HAVEN, FL33880
Phone: 877-633-7250
Fax:
Website:
Specialty Taxonomy Code
* Oxygen Equipment & Supplies 332BX2000X

* Indicates primary specialty

NPI Profile & details for STATESERV MEDICAL OF FLORIDA, LLC

NPI Number 1124894191
Legal business name
LBN
STATESERV MEDICAL OF FLORIDA, LLC
Authorized official CHRISTOPER ROODE - (COO)
Entity Organization
Organization subpart No
Enumeration date 11/30/2023
Last updated 11/30/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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