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Organization
COUNTRY SOUTH INC
Active
Organization
COUNTRY SOUTH INC
Active
Other names
DIABETIC SUPPLY OF AMERICA
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ELIZABETH FISCINA (PRESIDENT)
(239) 514-1156
Entity
Organization
Contact information
Practice address
5567 TAYLOR RD, STE 8, NAPLES, FL 34109-1880
(239) 514-1156
(239) 514-1159
Mailing address
PO BOX 110189, NAPLES, FL 34108-0104
(239) 514-1156
(239) 514-1159
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
943257
FL
Other
Enumeration date
05/24/2005
Last updated
09/15/2009
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