Organization
COASTAL OXYGEN & MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD R PADGET (MEMBER)
(850) 477-9384
Entity
Organization
Contact information
Practice address
2411 EXECUTIVE PLAZA DR, PENSACOLA, FL 32504-8269
(850) 477-9384
(850) 476-9519
Mailing address
2411 EXECUTIVE PLAZA DR, PENSACOLA, FL 32504-8269
(850) 477-9384
(850) 476-9519
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1312081
FL
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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