Organization
MS SUPPLY & HOME HEALTH CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL A. SANTOS (PRESIDENT)
(813) 621-2001
Entity
Organization
Contact information
Practice address
500 E KENNEDY BLVD STE 411, TAMPA, FL 33602-4934
(813) 787-8375
(813) 701-9681
Mailing address
PO BOX 2642, BRANDON, FL 33509-2642
(813) 621-2001
(813) 621-2480
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
P02000003509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032330600
—
FL
Enumeration date
06/15/2006
Last updated
09/24/2020
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