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General NPI Number Information
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NPI Number | 1710851910
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Entity Type | Organization
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Legal Business Name | MEDICAL EQUIPMENT SPECIALISTS WEST COAST FL
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 2154 SEVEN SPRINGS BLVD # 102
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-3910
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Country | US
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Telephone | 727-375-7530
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Fax | 800-856-5234
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Provider Business Mailing Address
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Address Line | 7695 SW ELLIPSE WAY
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City | STUART
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State | FL
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Zip | 34997-7251
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Country | US
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Telephone | 772-777-8109
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Fax | 800-856-5234
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. JEFFREY SCOTT CORDING
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Credential |
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Telephone | 772-777-8109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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