Basic Information
Provider Information
NPI: 1184867400
EntityType: 2
ReplacementNPI:  
OrganizationName: LINCARE INC.
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Mailing Information
Address1: 19387 US HIGHWAY 19 N
Address2:  
City: CLEARWATER
State: FL
PostalCode: 337643102
CountryCode: US
TelephoneNumber: 7274318261
FaxNumber: 8775249504
Practice Location
Address1: 3013 E 5TH ST
Address2:  
City: TYLER
State: TX
PostalCode: 757015102
CountryCode: US
TelephoneNumber: 9035331412
FaxNumber: 9035331590
Other Information
ProviderEnumerationDate: 04/16/2009
LastUpdateDate: 09/09/2021
NPIDeactivationReasonCode:  
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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: 09/09/2021

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

No ID Information.


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