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Organization
MEDICAL LOGIC FT. WALTON, INC.
Active
Organization
MEDICAL LOGIC FT. WALTON, INC.
Active
Parent organization
AEROCARE HOLDINGS LLC
Other names
AeroCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS LLC
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
922 MAR WALT DR STE 101, FORT WALTON BEACH, FL 32547-6703
(850) 862-6277
(850) 862-6279
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
326880
FL
Other
Enumeration date
05/23/2012
Last updated
10/15/2025
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