# EZMEDEQUIP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255974820
- **Authorized official:** SAMEENA KHAJA (OWNER)
- **Authorized official phone:** (904) 256-9202

## Contact information

- **Practice address:** 6817 SOUTHPOINT PKWY STE 203, JACKSONVILLE, FL 32216-6286
- **Practice address phone:** (904) 256-9202
- **Mailing address:** 1401 1ST ST S UNIT D, JACKSONVILLE BEACH, FL 32250-6301
- **Mailing address phone:** (904) 256-9202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/25/2019
- **Last updated:** 10/25/2019