Matrix Medical Llc

LBN: Matrix Medical Llc
Matrix Medical Llc is an health care organization with primary practice located at 1300 S Duncan Dr Bldg B , Tavares FL 32778-4206. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Matrix Medical Llc can be contacted via phone (352) 343-4402, or through Griggs, Stephen P via phone (407) 206-0040.

Contact Information

Primary practice address
1300 S Duncan Dr Bldg B Tavares FL 32778-4206
Fax: (800) 491-5803
Website:
Authorized official contact:
Name: Griggs, Stephen P

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 2077 Florida
Suppliers / Oxygen Equipment & Supplies 332BX2000X

Profile Details

NPI number 1386755163
LBN Legal business name Matrix Medical Llc
DBA Doing business as
Authorized official Griggs, Stephen P
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 31st, 2006
Last updated May 25th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386755163 NPPES
Florida MEDICAID 109316200

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