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Organization

JRS MEDICAL SUPPLY & OXYGEN INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARTHA E SALMON (VICE PRESIDENT)
(407) 380-5005
Entity
Organization

Contact information

Practice address
8265 VALENCIA COLLEGE LANE, ORLANDO, FL 32825-3242
(407) 380-5005
(407) 380-0802
Mailing address
PO BOX 2481, WINTER PARK, FL 32790-2481
(407) 380-5005
(407) 380-0802

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
5880120308977
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
539
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
950264500
FL
01
R7475
BCBS OF FLA
Enumeration date
05/10/2006
Last updated
09/30/2008
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