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Organization
ONE SOURCE MEDICAL GROUP LLC
Active
Organization
ONE SOURCE MEDICAL GROUP LLC
Active
Other names
One Source Medical Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J ROBICHAUD (CEO)
(866) 834-7473
Entity
Organization
Contact information
Practice address
13910 LYNMAR BLVD, TAMPA, FL 33626
(813) 792-3560
(877) 490-9111
Mailing address
13910 LYNMAR BLVD, TAMPA, FL 33626-3123
(866) 834-7473
(877) 490-9111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1313496
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
Other
Enumeration date
05/27/2007
Last updated
08/24/2022
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