Organization
GRAHAM-SEGO CORPORATION
Active
Other names
Segos Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. E. EUGENE SEGO (OWNER)
(321) 268-0179
Entity
Organization
Contact information
Practice address
108 SAUSALITO BLVD, CASSELBERRY, FL 32707-5764
(407) 260-6002
(407) 260-0578
Mailing address
108 SAUSALITO BLVD, CASSELBERRY, FL 32707-5764
(407) 260-6002
(407) 260-0578
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
32622
FL
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030863300
—
FL
Enumeration date
03/30/2007
Last updated
10/19/2020
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