# SOMTO MEDICAL SUPPLY AND HOME HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770604258
- **Authorized official:** DR. IMELDA AZUOMA NWOGA 042452 (BUSINESSOWNER)
- **Authorized official phone:** (904) 347-4357

## Contact information

- **Practice address:** 2825 LEWIS SPEEDWAY, ST AUGUSTINE, FL 32084-8668
- **Practice address phone:** (904) 347-4357
- **Practice address fax:** (904) 823-9541
- **Mailing address:** 1205 ELLINGTON CT, ST AUGUSTINE, FL 32084-1832
- **Mailing address phone:** (904) 347-4357
- **Mailing address fax:** (904) 823-9541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 35707 | FL | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/22/2020
