Organization
CERTIFIED MEDICAL SYSTEMS III INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DILLMAN (VICE PRESIDENT)
(904) 272-3022
Entity
Organization
Contact information
Practice address
2600 US HIGHWAY 1 S, UNIT 1, ST AUGUSTINE, FL 32086-6199
(904) 810-9747
(904) 810-9740
Mailing address
2600 US HIGHWAY 1 S, UNIT 1, ST AUGUSTINE, FL 32086-6199
(904) 810-9747
(904) 810-9740
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025575100
—
FL
Enumeration date
09/14/2006
Last updated
12/21/2011
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