Basic Information
Provider Information
NPI: 1194017251
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: 8774054602
Practice Location
Address1: 2213 E MAIN ST
Address2:  
City: ALBERT LEA
State: MN
PostalCode: 560073922
CountryCode: US
TelephoneNumber: 5073775044
FaxNumber: 5073776058
Other Information
ProviderEnumerationDate: 05/09/2011
LastUpdateDate: 08/11/2021
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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AuthorizedOfficialCredential: AO
NPICertificationDate: 08/11/2021

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

No ID Information.


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