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Organization
SOUTHEASTERN MEDICAL SUPPLY INC
Active
Organization
SOUTHEASTERN MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANOR MARIE METHOT (PRESIDENT)
(863) 965-8856
Entity
Organization
Contact information
Practice address
3615 CENTURY BLVD, UNIT #1, LAKELAND, FL 33811
(863) 965-8856
(863) 551-1777
Mailing address
3615 CENTURY BLVD, UNIT #1, LAKELAND, FL 33811
(863) 965-8856
(863) 551-1777
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
06/20/2005
Last updated
06/28/2016
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