Provider Demographics
NPI:1528059508
Name:ALLIANCE OXYGEN & MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:ALLIANCE OXYGEN & MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-926-8090
Mailing Address - Street 1:5355 MCINTOSH RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-3486
Mailing Address - Country:US
Mailing Address - Phone:941-926-8090
Mailing Address - Fax:941-926-8059
Practice Address - Street 1:5355 MCINTOSH RD
Practice Address - Street 2:SUITE C
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-3486
Practice Address - Country:US
Practice Address - Phone:941-926-8090
Practice Address - Fax:941-926-8059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1509332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4283190001Medicare ID - Type Unspecified