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Organization
HALL-MOORE MEDICAL SUPPLEIS, INC
Active
Organization
HALL-MOORE MEDICAL SUPPLEIS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA H MOORE (SECRETARY/TREASURER)
(904) 731-7212
Entity
Organization
Contact information
Practice address
6539 POWERS AVE, SUITE 3, JACKSONVILLE, FL 32217-2888
(904) 731-7212
(904) 731-5853
Mailing address
6539 POWERS AVE, SUITE 3, JACKSONVILLE, FL 32217-2888
(904) 731-7212
(904) 731-5853
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1409
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1409
STATE LICENSE NUMBER
FL
Enumeration date
09/14/2005
Last updated
08/22/2020
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