Active Living Store Inc.

LBN: Active Living Store Inc.
Active Living Store Inc. is an health care organization with primary practice located at 17860 Se 109Th Ave #630, Summerfield FL 34491-8911. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Active Living Store Inc. can be contacted via phone (352) 307-3511, or through Whittle, Page R. via phone (352) 307-3511.

Contact Information

Primary practice address
17860 Se 109Th Ave #630 Summerfield FL 34491-8911
Fax: (352) 307-1151
Website:
Authorized official contact:
Name: Whittle, Page R.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1626 Florida

Profile Details

NPI number 1871633073
LBN Legal business name Active Living Store Inc.
DBA Doing business as
Authorized official Whittle, Page R.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers