Organization
DURAMED MEDICAL SERVICES
Active
Other names
Sleep Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BISHOP LEE MCMILLER RRT REGISTERED RESPI (PROPRIETOR)
(850) 973-8116
Entity
Organization
Contact information
Practice address
289 SW RANGE AVE, STE D, MADISON, FL 32340
(850) 973-8116
(850) 973-8118
Mailing address
602 NE BLUE RIDGE LANDING AVE, LEE, FL 32059
(850) 973-8116
(850) 973-8118
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
HCC4268
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V1655
BCBS
FL
01
—
V3152
BCBS
FL
Enumeration date
03/08/2007
Last updated
02/13/2012
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