Organization
OXYGEN MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL KUTSENKO (PRESIDENT)
(954) 455-0233
Entity
Organization
Contact information
Practice address
2500 E HALLANDALE BEACH BLVD, SUITE # 501-A, HALLANDALE BEACH, FL 33009-4834
(954) 455-0233
(954) 455-0212
Mailing address
2500 E HALLANDALE BEACH BLVD, SUITE # 501-A, HALLANDALE BEACH, FL 33009-4834
(954) 455-0233
(954) 455-0212
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1312838
FL
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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