Provider Demographics
NPI:1962400564
Name:BAYONET POINT OXYGEN SERVICES OF FLORIDA, INC.
Entity type:Organization
Organization Name:BAYONET POINT OXYGEN SERVICES OF FLORIDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-835-7540
Mailing Address - Street 1:8340 DONAL ST
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-6861
Mailing Address - Country:US
Mailing Address - Phone:727-835-7540
Mailing Address - Fax:727-835-7555
Practice Address - Street 1:4901 E SILVER SPRINGS BLVD
Practice Address - Street 2:SUITE 504
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-3228
Practice Address - Country:US
Practice Address - Phone:352-438-2258
Practice Address - Fax:352-438-2264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1633332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL032328400Medicaid
FL4321240002Medicare NSC