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Organization
EMERALD COAST MEDICAL SUPPLIES LLC
Active
Organization
EMERALD COAST MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA FOSTER (OWNER)
(850) 420-2240
Entity
Organization
Contact information
Practice address
48 BALD EAGLE DR, SANTA ROSA BEACH, FL 32459
(850) 420-2240
Mailing address
48 BALD EAGLE DR, SANTA ROSA BEACH, FL 32459-8342
(850) 420-2240
(850) 344-9758
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
04/02/2017
Last updated
09/28/2020
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