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Organization
STARLIGHT MEDICAL SUPPLY INC
Active
Organization
STARLIGHT MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED D WADE (CEO)
(727) 403-7597
Entity
Organization
Contact information
Practice address
6435 CENTRAL AVE, ST PETERSBURG, FL 33710-8411
(727) 828-0770
(727) 549-1768
Mailing address
6860 GULFPORT BLVD S STE 270, SOUTH PASADENA, FL 33707-2108
(727) 828-0770
(727) 549-1768
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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