Basic Information
Provider Information
NPI: 1518618586
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: 8002842006
FaxNumber:  
Practice Location
Address1: 1101 E MAIN ST
Address2:  
City: CUT BANK
State: MT
PostalCode: 594273127
CountryCode: US
TelephoneNumber: 4068739164
FaxNumber: 4068739189
Other Information
ProviderEnumerationDate: 01/12/2022
LastUpdateDate: 01/12/2022
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: MCCARTHY
AuthorizedOfficialFirstName: GREGORY
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AuthorizedOfficialTitleorPosition: COO
AuthorizedOfficialTelephone: 7275307700
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: AO
NPICertificationDate: 01/12/2022

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

No ID Information.


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