Basic Information
Provider Information
NPI: 1346325438
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: 1961 TAMARACK RD
Address2:  
City: NEWARK
State: OH
PostalCode: 430551300
CountryCode: US
TelephoneNumber: 7403498236
FaxNumber: 7405222199
Other Information
ProviderEnumerationDate: 10/26/2006
LastUpdateDate: 08/02/2021
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: MCCARTHY
AuthorizedOfficialFirstName: GREG
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AuthorizedOfficialTitleorPosition: AUTHORIZED OFFICIAL
AuthorizedOfficialTelephone: 7275307700
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 08/02/2021

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

No ID Information.


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