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Organization

ADVANTAGE HOME MEDICAL EQUIPMENT, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARTHA W BUTLER (MANAGER)
(386) 792-2224
Entity
Organization

Contact information

Practice address
605 HWY 41 NW, JASPER, FL 32052
(386) 792-2224
(386) 792-2244
Mailing address
PO BOX 369, JASPER, FL 32052-0369
(386) 792-2224
(386) 792-2244

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1175
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
951940800
FL
01
R8968
BCBS PROVIDER NUMBER
FL
Enumeration date
06/10/2005
Last updated
11/19/2009
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