Organization
EQUAL LIFE MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JEMIMA BARDETTE (CEO)
(239) 265-5164
Entity
Organization
Contact information
Practice address
9420 LAZY LN, UNIT A-14, TAMPA, FL 33614-1593
(239) 265-5164
Mailing address
9420 LAZY LN, UNIT A-14, TAMPA, FL 33614-1593
(239) 265-5164
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/10/2013
Last updated
05/13/2013
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