Basic Information
Provider Information
NPI: 1104991504
EntityType: 2
ReplacementNPI:  
OrganizationName: LINCARE INC
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Mailing Information
Address1: 19387 US HIGHWAY 19 N
Address2:  
City: CLEARWATER
State: FL
PostalCode: 33764
CountryCode: US
TelephoneNumber: 7274318261
FaxNumber: 8775249504
Practice Location
Address1: 2107 E HOME RD STE A
Address2:  
City: SPRINGFIELD
State: OH
PostalCode: 455032500
CountryCode: US
TelephoneNumber: 9373244262
FaxNumber: 9373244524
Other Information
ProviderEnumerationDate: 11/21/2006
LastUpdateDate: 08/31/2021
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AuthorizedOfficialLastName: MCCARTHY
AuthorizedOfficialFirstName: GREGORY
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AuthorizedOfficialTitleorPosition: CHIEF OPERATIONS OFFICER
AuthorizedOfficialTelephone: 7275307700
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 08/31/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
332B00000X  Y SuppliersDurable Medical Equipment & Medical Supplies 

No ID Information.


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