Organization
MEDQUEST MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND DOMINICK (MANAGER)
(352) 315-1651
Entity
Organization
Contact information
Practice address
1310-A NORTH SHORE DR, LEESBURG, FL 34748-3536
(352) 315-1651
Mailing address
1310-A NORTH SHORE DR, LEESBURG, FL 34748-3536
(352) 315-1651
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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