Basic Information
Provider Information
NPI: 1225116585
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: 7274318110
FaxNumber: 8775249504
Practice Location
Address1: 1987 WEST 4TH STREET
Address2: SUITE 300
City: ONTARIO
State: OH
PostalCode: 449061708
CountryCode: US
TelephoneNumber: 4195280027
FaxNumber: 4195283060
Other Information
ProviderEnumerationDate: 11/02/2006
LastUpdateDate: 08/03/2021
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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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AuthorizedOfficialCredential: AO
NPICertificationDate: 08/03/2021

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

No ID Information.


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