PRO2 LAKE CITY LLC NPI 1245265800

NPI Information

NPI: 1245265800
Provider Name: PRO2 LAKE CITY, LLC

Doing Business As: PRO2 RESPIRATORY SERVICES

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
4550 SW 41ST BLVD
SUITE 7
GAINESVILLE, FL
ZIP 32608
Phone: (386) 755-9511
Get Directions

PRO2 LAKE CITY, LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Gainesville, FL. PRO2 LAKE CITY, LLC NPI is 1245265800. The provider is registered as an organization entity type.
The provider Is Doing Business As Pro2 Respiratory Services.

The provider's business location address is:

4550 SW 41ST BLVD
SUITE 7
GAINESVILLE, FL
ZIP 32608
Phone: (386) 755-9511
Fax: (386) 755-9577

The provider's authorized official is Timothy Ford .
The authorized official title is President and has the following contact phone number (513) 469-5771.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 7/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	1312130	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5288320001	MEDICARE NSC	FLORIDA
2	031183900	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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