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Organization
REVOLUTIONARY MEDICAL SUPPLIES LLC
Active
Organization
REVOLUTIONARY MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRENDA DAWN HADDEN RN (MANAGING MEMBER)
(850) 777-1213
Entity
Organization
Contact information
Practice address
450 VAN PELT LN, PENSACOLA, FL 32505-2532
(850) 777-1213
(850) 478-1864
Mailing address
7465 N PALAFOX ST, PENSACOLA, FL 32503-7077
(850) 777-1213
(850) 478-1864
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
685961
FL
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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