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Organization
BASE MEDICAL SUPPLY INC.
Active
Organization
BASE MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFFORD TODD MONAGHAN (CHIEF EXECUTIVE OFFICER)
(772) 618-1183
Entity
Organization
Contact information
Practice address
130 S INDIAN RIVER DR STE 202, FORT PIERCE, FL 34950-4353
(772) 618-1183
(772) 672-3014
Mailing address
130 S INDIAN RIVER DR STE 202, FORT PIERCE, FL 34950-4353
(772) 618-1183
(772) 672-3014
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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