# RUDY RYAN INC DBA MODERN MEDICAL PRODUCTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Modern Medical Products
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972676682
- **Authorized official:** MS. SANDRA J SHORT (PRESIDENT)
- **Authorized official phone:** (863) 680-2010

## Contact information

- **Practice address:** 2412 LAKELAND HILLS BLVD, LAKELAND, FL 33805
- **Practice address phone:** (863) 680-2010
- **Practice address fax:** (863) 680-1870
- **Mailing address:** 2412 LAKELAND HILLS BLVD, LAKELAND, FL 33805
- **Mailing address phone:** (863) 680-2010
- **Mailing address fax:** (863) 680-1870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 981 | FL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 07/30/2008