Organization
JHORDAN MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE C. MATTHIEW (PRESIDENT)
(813) 249-7370
Entity
Organization
Contact information
Practice address
7307 ABONADO RD, TAMPA, FL 33615-2415
(813) 249-7370
(813) 886-8189
Mailing address
PO BOX 260155, TAMPA, FL 33685-0155
(813) 249-7370
(813) 249-7370
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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