# DURA-MED SOUTHEAST INC

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

## Provider details

- **NPI number:** 1861501819
- **Authorized official:** MR. JACK R FLOYD (PRESIDENT)
- **Authorized official phone:** (850) 675-2448

## Contact information

- **Practice address:** 5272 COMMERCE ST, JAY, FL 32565-1178
- **Practice address phone:** (850) 675-2448
- **Practice address fax:** (850) 675-3106
- **Mailing address:** 5272 COMMERCE ST, JAY, FL 32565-1178
- **Mailing address phone:** (850) 675-2448
- **Mailing address fax:** (850) 675-3106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 40 | FL | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 02/18/2009