North Florida Oxygen and Medical Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1313210 Issued in FL

Legal business name

NORTH FLORIDA OXYGEN AND MEDICAL INC.

Practice address

3380 SE Lake Weir Road
Ste B.
Ocala, FL 34471-6725

Phone

(352) 401-0202

NPI assigned

Jan 24, 2007

Last updated

Feb 4, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sid Duane Russell

Title

Secretary Treasurer

Phone

(352) 401-0202

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1063567758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 SE LAKE WEIR ROAD",
            "address_2": "STE B",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716725",
            "telephone_number": "352-401-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 SE LAKE WEIR ROAD",
            "address_2": "STE B.",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716725",
            "telephone_number": "352-401-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA OXYGEN AND MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "SID",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "352-401-0202"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "1313210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL OXYGEN RETAILER",
            "identifier": "326449",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA HME AND SERVICES",
            "identifier": "1313210",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kalysta North

• Oxygen Equipment & Supplies (DME) in Ocala, FL
• Providers in Ocala, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.