Organization
ALL SOUTHERN MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLENE LYNN RUSSELL (PRESIDENT)
(954) 327-8094
Entity
Organization
Contact information
Practice address
2521 S UNIVERSITY DR, DAVIE, FL 33324-5819
(954) 327-8094
(954) 327-8095
Mailing address
2521 S UNIVERSITY DR, DAVIE, FL 33324-5819
(954) 327-8094
(954) 327-8095
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1312947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1312947
HOME MEDICAL EQUIPMENT
FL
01
—
R9985
BC & BS OF FLOIRDA
FL
Enumeration date
04/28/2006
Last updated
08/19/2009
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