Omega Surgical Supply INC.
Durable Medical Equipment & Medical Supplies in Jacksonville, FL. Organization (NPI-2).
NPI number1730595331
StatusActive
Last updated in NPPESJul 3, 2014
Details
- NPI
- 1730595331
- Entity type
- Organization (NPI-2)
- Legal business name
- Omega Surgical Supply INC.
- Organization subpart
- No
- Enumeration date
- Jul 3, 2014
- Last updated
- Jul 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
5560 Wilmin WayJacksonville, FL 32207-5106
Phone 904-641-3898
Mailing address
5560 Wilmin WayJacksonville, FL 32207-5106
Phone 904-641-3898
Authorized official
Peter Brandvold
Ceo
9046413898
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