Organization
QUALIMED RESPIRATORY AND MOBILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN T WILLIS (PRESIDENT)
(863) 293-3066
Entity
Organization
Contact information
Practice address
1135 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4655
(863) 683-4663
Mailing address
704 3RD ST SW, WINTER HAVEN, FL 33880-3418
(863) 293-3066
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1312560
FL
Other
Enumeration date
08/12/2006
Last updated
03/31/2008
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