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MERCURY ENTERPRISES INC. NPI 1417934688


NPI Information

NPI: 1417934688
Provider Name: MERCURY ENTERPRISES, INC.

Doing Business As: MERCURY MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
11300 49TH ST N
CLEARWATER, FL
ZIP 33762
Phone: (727) 573-7689
Get Directions

MERCURY ENTERPRISES, INC. is a durable medical equipment medical supplies in Clearwater, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MERCURY ENTERPRISES, INC. NPI is 1417934688. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercury Medical.

The provider's business location address is:

11300 49TH ST N
CLEARWATER, FL
ZIP 33762-807
Phone: (727) 573-7689
Fax: (727) 456-1997

The provider's authorized official is Stanley G Tangalakis .
The authorized official title is Chairman / Ceo and has the following contact phone number (727) 573-7689.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 4/29/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1679647803MEDICAIDFLORIDA
2027564600MEDICAIDFLORIDA
310481101OTHERCITRUS HEALTH PLANS
4202211OTHERAMERIGROUP HEALTH PLANS
5R0247OTHERFLORIDABLUE CROSS BLUE SHIELD
60290150001MEDICARE NSC
7679647896MEDICAIDFLORIDA
8679647898MEDICAIDFLORIDA

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

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