Organization · NPI-2

1 Nation Medical Group LLC

Durable Medical Equipment & Medical Supplies · Tampa, FL

NPI number1891258828
StatusActive
Last updated in NPPESJun 5, 2019

Details

NPI
1891258828
Entity type
Organization (NPI-2)
Legal business name
1 Nation Medical Group LLC
Organization subpart
No
Enumeration date
Apr 8, 2019
Last updated
Jun 5, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

13902 N Dale Mabry Hwy Ste 204
Tampa, FL 33618-2452

Phone 813-335-3476

Mailing address

13902 N Dale Mabry Hwy Ste 204
Tampa, FL 33618-2452

Phone 813-335-3476

Authorized official

Richard E Mckay
President
8133353476

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