Provider Demographics
NPI:1306278809
Name:SELECT MEDICAL PRODUCTS
Entity type:Organization
Organization Name:SELECT MEDICAL PRODUCTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:PARKER
Authorized Official - Last Name:BIELING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-527-7801
Mailing Address - Street 1:6531 47TH STREET NORTH
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33780
Mailing Address - Country:US
Mailing Address - Phone:727-527-7801
Mailing Address - Fax:727-522-2583
Practice Address - Street 1:6531 47TH STREET NORTH
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781
Practice Address - Country:US
Practice Address - Phone:727-527-7801
Practice Address - Fax:727-522-2583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies