Organization
GULF MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH R STEBER (PRESIDENT)
(850) 438-7600
Entity
Organization
Contact information
Practice address
3103 N 12TH AVE, PENSACOLA, FL 32503-4006
(850) 438-7600
(850) 438-4138
Mailing address
3103 N 12TH AVE, PENSACOLA, FL 32503-4006
(850) 438-7600
(850) 438-4138
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HME112
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
HME 112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026433400
—
FL
05
—
027405400
—
FL
05
—
028315100
—
FL
05
—
028316900
—
FL
01
—
59087554
BCBS PROVIDER NUMBER
AL
01
—
8205961
UHC PROVIDER NUMBER
FL
01
—
P8466
BCBS PHARMACY PROV NUM
FL
01
—
R6206
BCBS PROVIDER NUMBER
FL
Enumeration date
04/20/2006
Last updated
10/20/2016
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