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NPI 1255856118 · Customized Equipment (DME) · Port Charlotte, FL
Provider details
- NPI number
- 1255856118
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Burton Ross, Ceo(941) 456-2362
Specialties & taxonomies
Suppliers
Practice location
1825 Tamiami Trl Unit E3
Port Charlotte, FL 33948-1047
Phone: (941) 625-0103
Fax: (855) 711-4335
Approximate (ZIP-level) locationGet directions
Mailing address
1825 Tamiami Trl Unit E3
Port Charlotte, FL 33948-1047
Registry dates
- Enumerated
- 2017-08-11
- Last updated
- 2023-04-10
- Certified
- 2023-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.