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Organization
PROFESSIONAL HEALTH CARE SERVICES INC
Active
Organization
PROFESSIONAL HEALTH CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA J WELLS (SVP)
(205) 221-8258
Entity
Organization
Contact information
Practice address
350 RACETRACK RD NW STE C, FORT WALTON BEACH, FL 32547-1554
(850) 279-1200
(850) 250-5508
Mailing address
350 RACETRACK RD NW STE C, FORT WALTON BEACH, FL 32547-1554
(850) 279-1200
(850) 250-5508
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6714
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
6714
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
900048
AL
Other
Enumeration date
06/01/2005
Last updated
06/30/2026
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