Organization
APM PROVIDERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS C WALT (GENERAL MANAGER)
(904) 241-5310
Entity
Organization
Contact information
Practice address
1823 3RD ST N, JACKSONVILLE BEACH, FL 32250-7469
(904) 241-5310
(904) 247-9145
Mailing address
PO BOX 51582, JACKSONVILLE BEACH, FL 32240-1582
(904) 241-5310
(904) 247-9145
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NOT REQUIRED
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440587
—
MS
05
—
00719672A
—
GA
05
—
0226824000
—
WV
05
—
1684716
—
LA
05
—
7701843
—
NC
05
—
DM0962
—
SC
01
—
R8467
BC/BS PROVIDER#
FL
Enumeration date
03/17/2006
Last updated
04/20/2008
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