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Organization
THE GOOD SHEPHERD MEDICAL EQUIPMENT LLC
Active
Organization
THE GOOD SHEPHERD MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIJAH DEMETRIUS (CEO)
(727) 807-6969
Entity
Organization
Contact information
Practice address
3080 E BAY DR, SUITE 400B, LARGO, FL 33771-2692
(727) 807-6969
Mailing address
9119 RIDGE RD, STE 4, NEW PORT RICHEY, FL 34654-5059
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
05/28/2013
Last updated
02/22/2017
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