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Organization
TAYGAN HOME MEDICAL
Active
Organization
TAYGAN HOME MEDICAL
Active
Other names
TAYGAN HOME MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WILLIE ADDISON (OWNER)
(904) 525-7778
Entity
Organization
Contact information
Practice address
3730 SOUTEL DR UNIT 2304, JACKSONVILLE, FL 32208-1286
(904) 525-7778
Mailing address
221 N HOGAN ST STE 532, JACKSONVILLE, FL 32202-4201
(904) 525-7778
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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