Organization
MASH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN W ALVERSON (PRESIDENT)
(205) 664-2059
Entity
Organization
Contact information
Practice address
379 E NELSON AVE, DEFUNIAK SPRINGS, FL 32433
(850) 892-5773
(850) 892-6318
Mailing address
379 E NELSON AVE, DEFUNIAK SPRINGS, FL 32433
(850) 892-5773
(850) 892-6318
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R3471
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/03/2006
Last updated
08/22/2020
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