Pet Rhino Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

1313414 Issued in FL

Legal business name

PET RHINO INC

Doing business as

CVI MEDICAL OF FLORIDA

Practice address

5008 W Linebaugh Ave
Ste 9
Tampa, FL 33624-5095

Phone

(813) 908-5302

Fax

(813) 908-7013

NPI assigned

Dec 28, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Joseph William Kelley

Title

President

Phone

(813) 908-5302

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CVI MEDICAL OF FLORIDA Doing business as

Locations

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1851695365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 W LINEBAUGH AVE",
            "address_2": "STE 9",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245095",
            "telephone_number": "813-908-5302",
            "fax_number": "813-908-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 W LINEBAUGH AVE",
            "address_2": "STE 9",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245095",
            "telephone_number": "813-908-5302",
            "fax_number": "813-908-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PET RHINO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-908-5302",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1313414",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "1313414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032609700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "R001U",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVI MEDICAL OF FLORIDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer M Pesce, MD
• Robert Joseph Pesce, M.D.
• Anabel Pesquero Avila
• Camilla Pessoa
• Jaspreet Kaur Pestana, MD
• Brienne Petcher, M.D
• Peter a Donelan MD PA
• Peter B McKernan MD DDS PA
• Peter J Walton MD PA
• Archana Peter

• Customized Equipment (DME) in Tampa, FL
• Providers in Tampa, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.