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Organization
USA MEDICAL GROUP, INC
Active
Organization
USA MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN PAUL LEE (CHIEF EXECUTIVE OFFICER)
(941) 758-6220
Entity
Organization
Contact information
Practice address
1450 IDLEWILD CT, SARASOTA, FL 34243-3239
(941) 758-6220
(941) 758-8963
Mailing address
1450 IDLEWILD CT, SARASOTA, FL 34243-3239
(941) 758-6220
(941) 758-8963
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
104
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57688
NORTHWOOD NPN PROV #
FL
01
—
R8450
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/14/2005
Last updated
08/20/2007
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