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Organization
FIVESTAR MEDICAL SUPPLIES, LLC
Active
Organization
FIVESTAR MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDETTE CLERVIL CHERISTIN (CEO)
(352) 901-7427
Entity
Organization
Contact information
Practice address
2468 US HIGHWAY 441/27 STE 201, FRUITLAND PARK, FL 34731-2149
(352) 901-7427
Mailing address
2468 US HIGHWAY 441/27 STE 201, FRUITLAND PARK, FL 34731-2149
(352) 901-7427
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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