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Organization
O2-4-U
Active
Organization
O2-4-U
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E RIDLEY (OWNER CEO)
(941) 496-8200
Entity
Organization
Contact information
Practice address
231 CENTER COURT, VENICE, FL 34285
(941) 496-8200
(941) 496-8227
Mailing address
231 CENTER COURT, VENICE, FL 34285
(941) 496-8200
(941) 496-8227
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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