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Organization

EXPRESS MEDICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL H. ZUBER (OWNER)
(228) 872-4089
Entity
Organization

Contact information

Practice address
2331 GOVERNMENT STREET, OCEAN SPRINGS, MS 39564
(228) 872-4089
(228) 872-8872
Mailing address
2331 GOVERNMENT STREET, OCEAN SPRINGS, MS 39564
(228) 872-4089
(228) 872-8872

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
06349/11.1
MS
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00226376
MS
01
06349/11.1
STATE BOARD OF PHARMACY #
MS
Enumeration date
06/18/2006
Last updated
11/18/2011
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