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Organization
NORTH FLORIDA MEDICAL SALES AND RENTALS OF STARKE, INC.
Active
Organization
NORTH FLORIDA MEDICAL SALES AND RENTALS OF STARKE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SID DUANE RUSSELL (VICE PRESIDENT)
(904) 368-0202
Entity
Organization
Contact information
Practice address
407 W MADISON ST, STARKE, FL 32091-3925
(904) 368-0202
Mailing address
407 W MADISON ST, STARKE, FL 32091-3925
(904) 368-0202
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1313184
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1313184
AHCA HME AND SERVICES
FL
01
—
326488
MEDICAL OXYGEN RETAILER
FL
Enumeration date
01/24/2007
Last updated
08/22/2020
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