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Organization
MED PLUS OF NWF
Active
Organization
MED PLUS OF NWF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEARON L SHIPMAN JR. (OWNER)
(850) 240-0093
Entity
Organization
Contact information
Practice address
323 PAGE BACON RD, SUITE 14, MARY ESTHER, FL 32569-1610
(850) 226-6331
(850) 226-6332
Mailing address
323 PAGE BACON RD, SUITE 14, MARY ESTHER, FL 32569-1610
(850) 226-6331
(850) 226-6332
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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