Organization
MEDICAL GALLERY, LLC
Active
Other names
The Medical Gallery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN N HELMS CPC (OWNER/MANAGER)
(850) 547-6186
Entity
Organization
Contact information
Practice address
217 N WAUKESHA ST, BONIFAY, FL 32425-2245
(850) 547-6186
(855) 899-5726
Mailing address
217 N WAUKESHA ST, BONIFAY, FL 32425-2245
(850) 547-6186
(855) 899-5726
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010841400
—
FL
Enumeration date
07/23/2013
Last updated
08/22/2014
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