Organization
DAYTONA PEOPLES MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELANI ADEKUNLE (OWNER)
(386) 258-8840
Entity
Organization
Contact information
Practice address
955 ORANGE AVE, SUITE 110, DAYTONA BEACH, FL 32114-4675
(386) 258-8840
(386) 248-0699
Mailing address
955 ORANGE AVE, SUITE 110, DAYTONA BEACH, FL 32114-4675
(386) 258-8840
(386) 248-0699
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1312342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028410600
—
FL
Enumeration date
11/08/2006
Last updated
03/24/2010
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