# FLORIDA HOME MEDICAL SUPPLY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colonial Medical Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265819619
- **Authorized official:** MR. DAVID C BRUINSMA (CEO)
- **Authorized official phone:** (407) 849-6455

## Contact information

- **Practice address:** 985 HARLEY STRICKLAND BLVD STE 100E, ORANGE CITY, FL 32763-7980
- **Practice address phone:** (407) 849-6455
- **Mailing address:** 614 E ALTAMONTE DR, ALTAMONTE SPRINGS, FL 32701-4803
- **Mailing address phone:** (407) 849-6455
- **Mailing address fax:** (407) 849-6458

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2015
- **Last updated:** 06/16/2015