# MEDICAL GALLERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Medical Gallery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114369907
- **Authorized official:** MR. RYAN N HELMS CPC (OWNER/MANAGER)
- **Authorized official phone:** (850) 547-6186

## Contact information

- **Practice address:** 217 N WAUKESHA ST, BONIFAY, FL 32425-2245
- **Practice address phone:** (850) 547-6186
- **Practice address fax:** (855) 899-5726
- **Mailing address:** 217 N WAUKESHA ST, BONIFAY, FL 32425-2245
- **Mailing address phone:** (850) 547-6186
- **Mailing address fax:** (855) 899-5726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 07/23/2013
- **Last updated:** 08/22/2014