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Organization
JACKSON MEDICAL SUPPLY, INC
Active
Organization
JACKSON MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEELEY MATTHEWS (PRESIDENT)
(727) 754-3306
Entity
Organization
Contact information
Practice address
801 W BAY DR STE 515, LARGO, FL 33770-3220
(727) 754-3306
Mailing address
801 W BAY DR STE 515, LARGO, FL 33770-3220
(727) 754-3306
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
01/25/2018
Last updated
04/28/2018
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