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NPI Code Detail

MEDICARE: MYERS HOME MEDICAL, INC.

MEDICARE: MYERS HOME MEDICAL, INC.
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
1332BX2000XOxygen Equipment & Supplies (DME)

General Provider Information

NPI Number : 1619993706
Entity Type Code : Organization
Provider Name (Legal Business Name) : MYERS HOME MEDICAL, INC.
Provider Business Mailing Address
First Line : 938 CASSAT AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32205-4806
Country : US
Telephone Number : 904-695-0570
Fax Number : 904-695-0580
Provider Business Practice Location Address
First Line : 938 CASSAT AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32205-4806
Country : US
Telephone Number : 904-695-0570
Fax Number : 904-695-0580
Authorized Official
Title or Position : CEO
Name : MR. JOSEPH BRADLEY MYERS
Credential :
Telephone Number : 904-695-0570
Provider Enumeration Date : 07/14/2006
Last Update Date : 03/24/2008

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