Organization
A&L GOODSOURCE MEDICAL PRODUCTS,LLC
Active
Other names
HOME MEDICAL EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGEL R BONILLA HME (GENERAL MANAGER)
(321) 972-6906
Entity
Organization
Contact information
Practice address
2290 N RONALD REAGAN BLVD STE 124, LONGWOOD, FL 32750-3534
(321) 972-6906
(321) 972-6907
Mailing address
2290 N RONALD REAGAN BLVD STE 124, LONGWOOD, FL 32750-3534
(321) 972-6906
(321) 972-6907
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1313549
FL
Other
Enumeration date
11/19/2008
Last updated
08/10/2009
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