# DURA-MED SOUTHEAST, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DURA-MED SOUTHEAST, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336371087
- **Legal business name:** DURA-MED SOUTHEAST, INC.
- **Authorized official:** MR. JACK R. FLOYD (PRESIDENT)
- **Authorized official phone:** (850) 675-2448

## Contact information

- **Practice address:** 5941 BERRYHILL RD, MILTON, FL 32570-4043
- **Practice address phone:** (850) 623-2988
- **Mailing address:** 5272 COMMERCE ST, P.O. BOX 190, JAY, FL 32565-1178
- **Mailing address phone:** (850) 675-2448

## Taxonomy

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

## Other

- **Enumeration date:** 08/13/2009
- **Last updated:** 08/13/2009