Individual
JIM WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6706 SEA ROBIN PL, TAMPA, FL 33615-2548
(813) 758-0319
(866) 463-4875
Mailing address
6706 SEA ROBIN PL, TAMPA, FL 33615-2548
(813) 758-0319
(866) 463-4875
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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