# NORTH FLORIDA MEDICAL CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UNION MEDICAL SUPPLY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790839678
- **Authorized official:** SALVADOR ANTONIO PEREZ (PRESIDENT)
- **Authorized official phone:** (386) 496-1575

## Contact information

- **Practice address:** 655 E MAIN ST, LAKE BUTLER, FL 32054-1352
- **Practice address phone:** (386) 496-3656
- **Mailing address:** 655 E MAIN ST, LAKE BUTLER, FL 32054-1352
- **Mailing address phone:** (386) 496-3656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 576 | FL | Yes |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 32011614 | FL | — |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 05/24/2012