# HEALTHSOURCE DME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366920019
- **Authorized official:** HEATHER ROUFFE (OWNER)
- **Authorized official phone:** (727) 333-9033

## Contact information

- **Practice address:** 3900 BELLE OAK BLVD STE 113, LARGO, FL 33771-2758
- **Practice address phone:** (727) 333-9033
- **Mailing address:** 3900 BELLE OAK BLVD STE 113, LARGO, FL 33771-2758
- **Mailing address phone:** (561) 674-2766

## Taxonomy

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

## Other

- **Enumeration date:** 08/04/2018
- **Last updated:** 09/15/2018
