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Organization
WESTSIDE MEDICAL SUPPLY INC
Active
Organization
WESTSIDE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER NAVARRO (OWNER)
18009903232
Entity
Organization
Contact information
Practice address
67 CALLE PAVIA FERNANDEZ, SAN SEBASTIAN, PR 00685
(787) 280-6402
Mailing address
PO BOX 621119, OVIEDO, FL 32762-1119
(787) 280-6402
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/22/2006
Last updated
06/09/2008
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