Provider Demographics
NPI:1194186650
Name:TAMPA MEDICAL SUPPLY, INC.
Entity type:Organization
Organization Name:TAMPA MEDICAL SUPPLY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAMBOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-643-9862
Mailing Address - Street 1:601 S FALKENBURG RD
Mailing Address - Street 2:SUITE 1-4
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-8017
Mailing Address - Country:US
Mailing Address - Phone:813-643-9862
Mailing Address - Fax:813-643-2301
Practice Address - Street 1:601 S FALKENBURG RD
Practice Address - Street 2:SUITE 1-4
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-8017
Practice Address - Country:US
Practice Address - Phone:813-643-9862
Practice Address - Fax:813-643-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-11
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies