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Organization
INDIAN ROCKS MEDICAL SUPPLY, INC
Active
Organization
INDIAN ROCKS MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C KOENIG (OWNER)
(727) 595-1300
Entity
Organization
Contact information
Practice address
1201 GULF BLVD STE 101, INDIAN ROCKS BEACH, FL 33785-2732
(727) 595-1300
(727) 595-1300
Mailing address
1201 GULF BLVD STE 101, INDIAN ROCKS BEACH, FL 33785-2732
(727) 595-1300
(727) 595-1300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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