Organization
DISCOUNT MEDICAL MART, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA VICTORIA THOM (MANAGER)
(813) 986-4220
Entity
Organization
Contact information
Practice address
12606 SELAH RANCH LN, THONOTOSASSA, FL 33592-2637
(813) 986-4220
(813) 986-4221
Mailing address
12606 SELAH RANCH LN, THONOTOSASSA, FL 33592-2637
(813) 986-4220
(813) 986-4221
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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