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General NPI Number Information
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NPI Number | 1912912643
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Entity Type | Organization
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Legal Business Name | S FLORIDA MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 4900 LINTON BLVD SUITE 26
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City | DELRAY BEACH
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State | FL
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Zip | 33445
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Country | US
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Telephone | 561-637-7705
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Fax | 561-637-1967
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Provider Business Mailing Address
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Address Line | 4900 LINTON BLVD SUITE 26
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City | DELRAY BEACH
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State | FL
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Zip | 33445
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Country | US
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Telephone | 561-637-7705
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Fax | 561-637-1967
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Authorized Official
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Title or Position | CEO
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Name | MR. DONALD LEE PAGE
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Credential |
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Telephone | 561-637-7705
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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 | 1521
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License Number State | FL
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