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NPI Code Detail

MEDICARE: MEDIWEDGE INC

MEDICARE: MEDIWEDGE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1952542482
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDIWEDGE INC
Provider Business Mailing Address
First Line : 9631 PALM RIVER RD
Second Line :
City : TAMPA
State : FL
Zip : 33619-4433
Country : US
Telephone Number : 813-623-1199
Fax Number :
Provider Business Practice Location Address
First Line : 9631 PALM RIVER RD
Second Line :
City : TAMPA
State : FL
Zip : 33619-4433
Country : US
Telephone Number : 813-623-1199
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. EDWARD A. STOHR
Credential :
Telephone Number : 813-623-1199
Provider Enumeration Date : 03/12/2009
Last Update Date : 03/12/2009

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Directions to “MEDIWEDGE INC ” Practice Location

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