123GERMFREE, LLC


Address: 4537 Prime Ter, North Port, FL 34286-7707
Phone: 8889762525

123GERMFREE, LLC (NPI# 1033741681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033741681
Entity Type Organization
Organization Name 123GERMFREE, LLC
Practice Address 4537 Prime Ter
North Port
FL 34286-7707
Practice Telephone 8889762525
Mailing Telephone 8889762525
Enumeration Date 2020-02-11
Last Update Date 2020-02-11
Authorized Official Name CORDELL JETER (PRESIDENT)
Authorized Official Telephone 8889762525
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
Suppliers

Other Provider/Organization Names

Other Name Type Code
TrackedMobility Doing Business As Name - Organization

Office Location

Street Address 4537 PRIME TER
City NORTH PORT
State FL
Zip Code 34286-7707

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1619071396 City of North Port Ambulance 4980 City Center Blvd, North Port, FL 34286 2006-09-12
1043850266 Devon Snedeker Nurse Practitioner 1668 Nicollett Ave, North Port, FL 34286-1904 2020-01-15
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1164748885 Stacy Landry Behavioral Analyst 4160 Oceanside St, North Port, FL 34286-2014 2010-04-20
1952948275 Therapy Ever After Behavioral Analyst 4160 Oceanside St, North Port, FL 34286-2014 2019-12-05
1144786773 Pediatric Behavioral Services Behavioral Analyst 4160 Oceanside St, North Port, FL 34286-2014 2019-02-19
1316589930 Daimon A Glenn Behavior Technician 3723 Cinderella Rd, North Port, FL 34286-2066 2019-10-15
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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1356948129 Heavenly Slayerz Boutique Durable Medical Equipment & Medical Supplies 6120 Forest Hill Blvd Apt 110, West Palm Beach, FL 33415-6260 2020-10-05
1649884297 Dbl Mobility Care Inc Durable Medical Equipment & Medical Supplies 132 Sw Monterey Rd, Stuart, FL 34994-4610 2020-09-01
1942812649 Homeward Bound Medical Supplies, LLC Durable Medical Equipment & Medical Supplies 3836 Old Dixie Hwy, Stuart, FL 34997 2020-08-24
1255956744 Synergy Health Care and Associates Durable Medical Equipment & Medical Supplies 124 Marriott Dr, Tallahassee, FL 32301-2995 2020-06-10
1770118705 New Regeneration Orthopedics of Florida, Pllc. Durable Medical Equipment & Medical Supplies 20754 W Dixie Hwy Unit 2c, Miami, FL 33180-1146 2020-03-10
1770118309 6th St. Bridge Mobility and Home Care LLC Durable Medical Equipment & Medical Supplies 7818 Depot Ln, Tampa, FL 33637-6810 2020-03-04
1053951632 Somnia Sleep Solutions LLC Durable Medical Equipment & Medical Supplies 205 Zeagler Dr Ste 301, Palatka, FL 32177-3860 2020-01-10
1700433067 Beyoutiful Custom Wigs and Makeup Durable Medical Equipment & Medical Supplies 276 N Market Blvd, Webster, FL 33597-9441 2019-08-21
1437710688 Myrna Rogers Durable Medical Equipment & Medical Supplies 11636 Linda Ln, Dade City, FL 33525-8405 2019-06-27
1104484534 Tactical Rehabilitation Inc Durable Medical Equipment & Medical Supplies 720 N Navy Blvd Unit C, Pensacola, FL 32507-1244 2019-05-31
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Competitor

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City NORTH PORT
Zip Code 34286

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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