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General NPI Number Information
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NPI Number | 1427084698
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Entity Type | Organization
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Legal Business Name | FLORIDA SURGICAL SUPPLY COMPANY
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 4500 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34231-3456
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Country | US
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Telephone | 941-366-2345
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Fax | 941-921-0075
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Provider Business Mailing Address
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Address Line | 4500 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34231-3456
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Country | US
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Telephone | 941-366-2345
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Fax | 941-921-0075
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BRYAN A BALL
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Credential |
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Telephone | 941-366-2345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 32 : 00198
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License Number State | FL
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