Basic Information
Provider Information
NPI: 1780758375
EntityType: 2
ReplacementNPI:  
OrganizationName: LINCARE INC
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Mailing Information
Address1: 19387 US HIGHWAY 19 N
Address2:  
City: CLEARWATER
State: FL
PostalCode: 33764
CountryCode: US
TelephoneNumber: 7274318261
FaxNumber: 8775249504
Practice Location
Address1: 525 CEDAR ST
Address2:  
City: SANDPOINT
State: ID
PostalCode: 838641535
CountryCode: US
TelephoneNumber: 2082552238
FaxNumber: 2082554468
Other Information
ProviderEnumerationDate: 11/17/2006
LastUpdateDate: 09/06/2017
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AuthorizedOfficialLastName: MCCARTHY
AuthorizedOfficialFirstName: GREG
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AuthorizedOfficialTitleorPosition: AUTHORIZED OFFICIAL
AuthorizedOfficialTelephone: 7275307700
IsSoleProprietor:  
IsOrganizationSubpart: N
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
332BX2000X  N SuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
332B00000X  Y SuppliersDurable Medical Equipment & Medical Supplies 

No ID Information.


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