Organization
GULFCOAST MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON R DODDS (PRESIDENT)
(727) 791-7404
Entity
Organization
Contact information
Practice address
2455 N MCMULLEN BOOTH RD, SUITE A, CLEARWATER, FL 33759-1358
(727) 791-7404
(727) 712-2220
Mailing address
PO BOX 16851, CLEARWATER, FL 33766-6851
(727) 791-7404
(727) 712-2220
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
HME 1411
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
32-04508
FL
Other
Enumeration date
04/17/2006
Last updated
09/11/2025
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