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Organization

EMERALD COAST VENTURES INC

Active
Other names
The Good Feet Store
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES GRADY DUTTON JR. (PRESIDENT)
(850) 215-3338
Entity
Organization

Contact information

Practice address
251 W 15TH ST, PANAMA CITY, FL 32401-2230
(850) 215-3338
(850) 215-2639
Mailing address
251 W 15TH ST, PANAMA CITY, FL 32401-2230
(850) 215-3338
(850) 215-2639

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
07/10/2008
Last updated
07/10/2008
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