Organization
SURF MEDICAL SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY W FOX (MANAGER)
(340) 714-5151
Entity
Organization
Contact information
Practice address
9149 ESTATE THOMAS, PARAGON MEDICAL BUILDING STE 304, ST THOMAS, VI 00802-2615
(340) 714-5151
(708) 335-2294
Mailing address
PO BOX 12423, ST THOMAS, VI 00801-5423
(340) 714-5151
(708) 335-2294
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/09/2012
Last updated
08/31/2013
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