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General NPI Number Information
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NPI Number | 1346327178
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Entity Type | Organization
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Legal Business Name | BRIDGES MEDICAL SUPPLIES INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 09/24/2009
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Provider Practice Location Address
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Address Line | 8987 PARK BLVD
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City | SEMINOLE
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State | FL
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Zip | 33777
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Country | US
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Telephone | 727-319-6756
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Fax | 727-393-9070
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Provider Business Mailing Address
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Address Line | 8987 PARK BLVD
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City | SEMINOLE
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State | FL
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Zip | 33777
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Country | US
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Telephone | 727-319-6756
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Fax | 727-393-9070
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KAILEEN MARY LEGARD
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Credential |
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Telephone | 727-319-6756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1570
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License Number State | FL
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