Organization
DISCOUNT MEDICAL SUPPLY, INC
Active
Other names
DISCOUNT MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KASKISTO (OWNER)
(888) 819-8881
Entity
Organization
Contact information
Practice address
1504 OLD MOODY BLVD, BUNNELL, FL 32110-8655
(386) 437-1785
Mailing address
1504 OLD MOODY BLVD, BUNNELL, FL 32110-8656
(386) 437-1785
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9472
BC
—
Enumeration date
05/30/2006
Last updated
08/22/2020
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