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Contact Information

STATESERV MEDICAL OF FLORIDA, LLC
4213 RECKER HWY
WINTER HAVEN, FL33880
 Phone: 877-633-7250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for STATESERV MEDICAL OF FLORIDA, LLC

NPI Number 1124894191
LBN Legal business name STATESERV MEDICAL OF FLORIDA, LLC
Authorized official CHRISTOPER ROODE - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2023
Last updated 11/30/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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