Providence Medical Corporation
NPI #1225027493 in Clearwater, Florida
Provider Information
- NPI Number
- 1225027493
- Entity Type
- Organization
- Organization Name
- Providence Medical Corporation
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 19, 2005
- Last Updated
- Aug 26, 2014
Practice Location
- Address
- 3350 ULMERTON RD
- Address 2
- SUITE 16
- City
- Clearwater
- State
- Florida
- ZIP Code
- 33762-3397
- Phone
- (727) 540-9377
Authorized Official
- Name
- MR. DAVID RICHARD LEVERING JR.
- Title
- PRESIDENT
- Phone
- (727) 540-9377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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