Organization
MASH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY L. HORN D.D.S. (PRESIDENT/OWNER)
(205) 663-1280
Entity
Organization
Contact information
Practice address
4730 N DAVIS HWY, PENSACOLA, FL 32503-2339
(850) 969-0220
(850) 969-0412
Mailing address
4730 N DAVIS HWY, PENSACOLA, FL 32503-2339
(850) 969-0220
(850) 969-0412
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014140600
—
FL
01
—
R8160
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/04/2006
Last updated
04/15/2015
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