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Organization

PORT CITY MEDICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AHMET SEDAT KACAR (PRESIDENT)
(251) 443-7667
Entity
Organization

Contact information

Practice address
6215 RANGELINE RD STE 110, THEODORE, AL 36582-5231
(251) 443-7667
(251) 650-4498
Mailing address
6215 RANGELINE RD STE 110, THEODORE, AL 36582-5231
(251) 443-7667
(251) 650-4498

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
741
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PERMIT #741
HME SERVICES PROVIDER
AL
Enumeration date
02/26/2007
Last updated
08/22/2020
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