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Organization
GOLD COAST MEDICAL SUPPLIER
Active
Organization
GOLD COAST MEDICAL SUPPLIER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMIE NELSON (OWNER)
(954) 330-7270
Entity
Organization
Contact information
Practice address
5510 NW 61ST ST APT 118, COCONUT CREEK, FL 33073-2507
(954) 330-7270
Mailing address
5510 NW 61ST ST APT 118, COCONUT CREEK, FL 33073-2507
(954) 330-7270
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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