Organization
EAST COAST MEDICAL AND OXYGEN THERAPIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AGNES ROBERTA BLACKWELDER (PRESIDENT OWNER)
(386) 274-3307
Entity
Organization
Contact information
Practice address
1510 MASON AVE, DAYTONA BEACH, FL 32114
(386) 274-3307
(386) 274-2009
Mailing address
1510 MASON AVE, DAYTONA BEACH, FL 32114
(386) 274-3307
(386) 274-2009
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1313031
FL
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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