Organization
DECUBEX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTY D LONG (BILLING MGR)
(386) 698-3737
Entity
Organization
Contact information
Practice address
1025 BLANDING BLVD, SUITE 503, ORANGE PARK, FL 32065-7750
(904) 213-0426
(904) 213-1086
Mailing address
1025 BLANDING BLVD, SUITE 503, ORANGE PARK, FL 32065-7750
(904) 213-0426
(904) 213-1086
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R8679
BCBS PROVIDER #
FL
Enumeration date
07/13/2006
Last updated
01/05/2009
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