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Organization
SKYBRIDGE MED SUPPLY LLC
Active
Organization
SKYBRIDGE MED SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH CHRYSOSTOME (OWNER)
(561) 762-4440
Entity
Organization
Contact information
Practice address
111 E MONUMENT AVE UNIT 405, KISSIMMEE, FL 34741-5774
(800) 488-7326
(321) 250-5461
Mailing address
111 E MONUMENT AVE UNIT 405, KISSIMMEE, FL 34741-5774
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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