One Source Medical Group Llc
LBN: One Source Medical Group Llc
One Source Medical Group Llc is an health care organization with primary practice located at 13910 Lynmar Blvd , Tampa FL 33626. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
One Source Medical Group Llc can be contacted via phone (813) 792-3560, or through Robichaud, Daniel J via phone (866) 834-7473.
Contact Information
Primary practice address
13910 Lynmar Blvd
Tampa FL 33626
Phone: (813) 792-3560
Fax: (877) 490-9111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 1313496 | Florida |
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X |
Profile Details
| NPI number | 1366653545 |
|---|---|
| LBN Legal business name | One Source Medical Group Llc |
| DBA Doing business as | One Source Medical Group Llc |
| Authorized official | Robichaud, Daniel J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2007 |
| Last updated | Aug 24th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366653545 | NPPES |
| Florida | MEDICAID | 032072200 | |
| Florida | Other | 5703548 |
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