MEDICARE: RAYMOND MEDICAL SUPPLY COMPANY

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1659553030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAYMOND MEDICAL SUPPLY COMPANY

Provider Business Mailing Address
First Line	:	9076 CASTLE ROCK DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32221-5589
Country	:	US
Telephone Number	:	904-378-1941
Fax Number	:

Provider Business Practice Location Address
First Line	:	9076 CASTLE ROCK DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32221-5589
Country	:	US
Telephone Number	:	904-378-1941
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DERRICK RAYMOND
Credential	:
Telephone Number	:	904-378-1941

Provider Enumeration Date	:	11/28/2007
Last Update Date	:	11/28/2007

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Directions to “RAYMOND MEDICAL SUPPLY COMPANY ” Practice Location

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