Provider Demographics
NPI:1053092072
Name:POLAR COLD CAPS, LLC
Entity type:Organization
Organization Name:POLAR COLD CAPS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ORONZO
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIGGIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-650-5611
Mailing Address - Street 1:2005 TAYLOR LN
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-1534
Mailing Address - Country:US
Mailing Address - Phone:352-650-5611
Mailing Address - Fax:
Practice Address - Street 1:18734 LANSFORD DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-6479
Practice Address - Country:US
Practice Address - Phone:800-449-0580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies