Med-Source Of Central Florida, INC
Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies in Orange City, FL. Organization (NPI-2).
NPI number1104852995
StatusActive
Last updated in NPPESAug 27, 2008
Details
- NPI
- 1104852995
- Entity type
- Organization (NPI-2)
- Legal business name
- Med-Source Of Central Florida, INC
- Organization subpart
- No
- Enumeration date
- Jun 23, 2006
- Last updated
- Aug 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | 2001 | FL | Yes |
Practice location
1495 S Volusia AveSuite 101
Orange City, FL 32763-7047
Phone 386-774-8900 · Fax 386-774-2040
Mailing address
1495 S Volusia AveSuite 101
Orange City, FL 32763-7047
Phone 386-774-8900 · Fax 386-774-2040
Authorized official
Laurie Bowling
Owner/President
3867748900
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