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Organization
NORTH FLORIDA MEDICAL CORP.
Active
Organization
NORTH FLORIDA MEDICAL CORP.
Active
Other names
UNION MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
SALVADOR ANTONIO PEREZ (PRESIDENT)
(386) 496-1575
Entity
Organization
Contact information
Practice address
655 E MAIN ST, LAKE BUTLER, FL 32054-1352
(386) 496-3656
Mailing address
655 E MAIN ST, LAKE BUTLER, FL 32054-1352
(386) 496-3656
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
576
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
32011614
FL
Other
Enumeration date
01/22/2007
Last updated
05/24/2012
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