Organization
CULPEPPER HARRELL, INC
Active
Other names
Your Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN FLETCHER (PRESIDENT)
(386) 698-3737
Entity
Organization
Contact information
Practice address
120 N 9TH ST, PALATKA, FL 32177-3635
(386) 325-2096
(386) 328-0404
Mailing address
120 N 9TH ST, PALATKA, FL 32177-3635
(386) 325-2096
(386) 328-0404
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
04643
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031636900
—
FL
01
—
R9977
BCBSFL
FL
Enumeration date
05/10/2006
Last updated
05/12/2016
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