Basic Information
Provider Information
NPI: 1699051987
EntityType: 2
ReplacementNPI:  
OrganizationName: MEDICAL NECESSITIES & SERVICES LLC
LastName:  
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Mailing Information
Address1: 3325 BARTLETT BLVD
Address2:  
City: ORLANDO
State: FL
PostalCode: 328116428
CountryCode: US
TelephoneNumber: 4072060040
FaxNumber: 4072060010
Practice Location
Address1: 1410 N MOUNT JULIET RD STE 101
Address2:  
City: MOUNT JULIET
State: TN
PostalCode: 371224434
CountryCode: US
TelephoneNumber: 6159970861
FaxNumber: 6157737051
Other Information
ProviderEnumerationDate: 10/31/2011
LastUpdateDate: 10/10/2018
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: GRIGGS
AuthorizedOfficialFirstName: STEPHEN
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AuthorizedOfficialTitleorPosition: CEO/PRESIDENT
AuthorizedOfficialTelephone: 4072060040
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: AEROCARE HOLDINGS, INC.
AuthorizedOfficialNamePrefix: MR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
332BX2000X  Y SuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies

No ID Information.


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