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Organization
MANATEE MEDICAL MANAGEMENT
Active
Organization
MANATEE MEDICAL MANAGEMENT
Active
Other names
Wound Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALLAS HODD MOORHEAD III (PRESIDENT)
(888) 331-3531
Entity
Organization
Contact information
Practice address
4519 GEORGE RD, SUITE 145, TAMPA, FL 33634-7329
(888) 331-3531
(888) 498-3990
Mailing address
4519 GEORGE RD, SUITE 145, TAMPA, FL 33634-7329
(888) 331-3531
(888) 498-3990
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
11/24/2010
Last updated
08/26/2011
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