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Organization
NORTH FLORIDA MEDICAL SALES AND RENTALS OF GAINESVILLE, INC.
Active
Organization
NORTH FLORIDA MEDICAL SALES AND RENTALS OF GAINESVILLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SID DUANE RUSSELL (VP)
(352) 331-8088
Entity
Organization
Contact information
Practice address
3558 NW 97TH BLVD, GAINESVILLE, FL 32606-7323
(352) 331-8088
(352) 331-8087
Mailing address
3558 NW 97TH BLVD, GAINESVILLE, FL 32606-7323
(352) 331-8088
(352) 331-8087
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1312941
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0313050
—
FL
01
—
R9835
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/08/2006
Last updated
02/27/2019
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