Organization
GULF SOUTH MEDICAL SUPPLY
Active
Other names
PSS World Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE LUMPKIN (DIRECTOR, GOVERNMENT AFFAIRS)
(904) 380-4512
Entity
Organization
Contact information
Practice address
4349 DURAFORM LN, WINDSOR, WI 53598-9769
(608) 846-0642
Mailing address
4345 SOUTHPOINT BLVD, JACKSONVILLE, FL 32216-6166
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1219-045
WI
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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