Provider Demographics
NPI:1558311233
Name:MED-ZONE INC
Entity type:Organization
Organization Name:MED-ZONE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LUKSHA
Authorized Official - Suffix:JR
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:941-764-9566
Mailing Address - Street 1:2400B TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-3922
Mailing Address - Country:US
Mailing Address - Phone:941-764-9566
Mailing Address - Fax:941-764-0430
Practice Address - Street 1:2400B TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-3922
Practice Address - Country:US
Practice Address - Phone:941-764-9566
Practice Address - Fax:941-764-0430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0995450001Medicare ID - Type UnspecifiedNATIONAL