Provider Demographics
NPI:1902330210
Name:TENSSOURCE, LLC
Entity Type:Organization
Organization Name:TENSSOURCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:EXARHOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-922-3150
Mailing Address - Street 1:PO BOX 15209
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33684-9906
Mailing Address - Country:US
Mailing Address - Phone:888-365-7861
Mailing Address - Fax:855-231-7748
Practice Address - Street 1:8110 ANDERSON ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-9906
Practice Address - Country:US
Practice Address - Phone:888-356-7861
Practice Address - Fax:855-231-7748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies