# GRAHAM SEGO CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Segos Home Medical Equipment
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578683900
- **Authorized official:** MR. E. EUGENE SEGO (OWNER)
- **Authorized official phone:** (321) 268-0179

## Contact information

- **Practice address:** 355 CITRUS TOWER BLVD, SUITE 102, CLERMONT, FL 34711-6501
- **Practice address phone:** (352) 242-9004
- **Practice address fax:** (352) 242-9006
- **Mailing address:** 355 CITRUS TOWER BLVD, SUITE 102, CLERMONT, FL 34711-6501
- **Mailing address phone:** (352) 242-9004
- **Mailing address fax:** (352) 242-9006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 321520 | FL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 01/13/2011