Active Medical Supply INC
Durable Medical Equipment & Medical Supplies in Tampa, FL. Organization (NPI-2).
NPI number1205861804
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1205861804
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Medical Supply INC
- Organization subpart
- No
- Enumeration date
- Jul 11, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | FL | Yes |
Practice location
1416 E Fletcher AveTampa, FL 33612-3668
Phone 813-975-9100 · Fax 813-975-8886
Mailing address
1416 E Fletcher AveTampa, FL 33612-3668
Phone 813-975-9100 · Fax 813-975-8886
Authorized official
Donald C. Hulling
President
8139759100
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