Basic Information
Provider Information
NPI: 1548684046
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: 7274318462
FaxNumber: 8775249504
Practice Location
Address1: 216 S WATER ST
Address2:  
City: SILVERTON
State: OR
PostalCode: 973811644
CountryCode: US
TelephoneNumber: 5038734183
FaxNumber: 5038738782
Other Information
ProviderEnumerationDate: 02/05/2014
LastUpdateDate: 12/08/2014
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AuthorizedOfficialLastName: NANNIE
AuthorizedOfficialFirstName: BRIAN
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AuthorizedOfficialTitleorPosition: AUTHORIZED OFFICIAL
AuthorizedOfficialTelephone: 7275307700
IsSoleProprietor:  
IsOrganizationSubpart: N
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
332B00000X  Y SuppliersDurable Medical Equipment & Medical Supplies 

No ID Information.


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