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One Source Medical Group Llc
Parenteral & Enteral Nutrition Supplies (DME) in Tampa, Florida
NPI 1366653545

One Source Medical Group Llc is a Parenteral & Enteral Nutrition Supplies (DME) based in Tampa, FL and is specialized in Parenteral & Enteral Nutrition. One Source Medical Group Llc practices in Tampa, FL. The NPI Number for One Source Medical Group Llc is 1366653545 and holds a License No. 1313496 (Florida).

The current practice location address for One Source Medical Group Llc is 13910 Lynmar Blvd, Tampa, FL and can be reached out via phone at 813-792-3560 and via fax at 877-490-9111.

Location: 13910 Lynmar Blvd, Tampa, FL, 33626-3123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366653545
Provider Name
One Source Medical Group Llc
Credential
Provider Entity Type
Organization
Address
13910 Lynmar Blvd, Tampa, FL, 33626-3123
Phone Number
813-792-3560
Fax Number
877-490-9111
Provider Enumeration Date
05/27/2007
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
032072200 05 FL
5703548 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
13910 Lynmar Blvd
City
Tampa
State
Florida
Zip
33626
Phone Number
813-792-3560
Fax Number
877-490-9111
person
Provider Business Mailing Address Details
Address
13910 Lynmar Blvd
City
Tampa
State
Florida
Zip
33626
Phone Number
813-792-3560
Fax Number
877-490-9111
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
1313496 (Florida)
Definition
Definition to come...
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