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NPI Code Detail

MEDICARE: SAVAGE MEDICAL EQUIPMENT &SUPPLIES

MEDICARE: SAVAGE MEDICAL EQUIPMENT &SUPPLIES
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 : 1043340151
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAVAGE MEDICAL EQUIPMENT &SUPPLIES
Provider Business Mailing Address
First Line : PO BOX 531621
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33747-1621
Country : US
Telephone Number : 727-768-1089
Fax Number :
Provider Business Practice Location Address
First Line : 724 15TH AVE S
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33701-5318
Country : US
Telephone Number : 727-768-1089
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. LATASHA TOWONNA BATTLE
Credential :
Telephone Number : 727-768-1089
Provider Enumeration Date : 03/07/2007
Last Update Date : 08/22/2020

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Directions to “SAVAGE MEDICAL EQUIPMENT &SUPPLIES ” Practice Location

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