Organization
BAYFRONT MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE ROCHELL DODD (OWNER)
(727) 498-6474
Entity
Organization
Contact information
Practice address
15026 MADEIRA WAY, MADEIRA BEACH, FL 33708-1912
(727) 498-6474
(727) 498-6475
Mailing address
15026 MADEIRA WAY, MADEIRA BEACH, FL 33708-1912
(727) 498-6474
(727) 498-6475
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/05/2008
Last updated
11/20/2009
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