Organization
LIFE SUPPORT SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD DEAN EDWARDS PA (OWNER/CEO)
(800) 659-8151
Entity
Organization
Contact information
Practice address
2965 ROOSEVELT BLVD, CLEARWATER, FL 33760-1926
(800) 659-8151
(727) 531-9552
Mailing address
2965 ROOSEVELT BLVD, CLEARWATER, FL 33760-1926
(800) 659-8151
(727) 531-9552
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
HCC3742
FL
Other
Enumeration date
09/08/2005
Last updated
03/10/2008
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