Organization
MED-SOURCE OF CENTRAL FLORIDA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE BOWLING (OWNER/PRESIDENT)
(386) 774-8900
Entity
Organization
Contact information
Practice address
1495 S VOLUSIA AVE, SUITE 101, ORANGE CITY, FL 32763-7047
(386) 774-8900
(386) 774-2040
Mailing address
1495 S VOLUSIA AVE, SUITE 101, ORANGE CITY, FL 32763-7047
(386) 774-8900
(386) 774-2040
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
2001
FL
Other
Enumeration date
06/23/2006
Last updated
08/27/2008
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