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Organization

CHAMPION HOME MEDICAL AND SUPPLIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BOB BROWN (OWNER)
(407) 486-1783
Entity
Organization

Contact information

Practice address
521 FINCH CT, KISSIMMEE, FL 34759-4426
(407) 486-1783
Mailing address
521 FINCH CT, KISSIMMEE, FL 34759-4426
(407) 486-1783

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
332B00000X
FL

Other

Enumeration date
05/13/2011
Last updated
05/13/2011
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