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Organization
AYADAWAY HEALTH SERVICES LLC
Active
Organization
AYADAWAY HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELTON MITCHELL HALLS R.R.T. (REGISTERED RESPIRATORY THERAPIST)
(904) 329-1990
Entity
Organization
Contact information
Practice address
12225 HERON COVE CT, JACKSONVILLE, FL 32218-8095
(904) 329-1990
(904) 329-1990
Mailing address
12225 HERON COVE CT, JACKSONVILLE, FL 32218-8095
(904) 329-1990
(904) 329-1990
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
L10000091096
FL
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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