# MEDIWEDGE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDIWEDGE INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952542482
- **Legal business name:** MEDIWEDGE INC
- **Authorized official:** MR. EDWARD A. STOHR (PRESIDENT)
- **Authorized official phone:** (813) 623-1199

## Contact information

- **Practice address:** 9631 PALM RIVER RD, TAMPA, FL 33619-4433
- **Practice address phone:** (813) 623-1199
- **Mailing address:** 9631 PALM RIVER RD, TAMPA, FL 33619-4433
- **Mailing address phone:** (813) 623-1199

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2009
- **Last updated:** 03/12/2009