Organization
FAMILY HOME MEDICAL EQUIPMENT & SUPPLIES, LLC
Active
Other names
Family Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BURTON C ROSS (PRESDIENT)
(941) 624-0127
Entity
Organization
Contact information
Practice address
303 UNIVERSITY DR, VALDOSTA, GA 31602-2631
(229) 269-4585
(229) 269-4585
Mailing address
1825 TAMIAMI TRL, SUITE E1, PORT CHARLOTTE, FL 33948-1077
(941) 624-0127
(941) 624-6098
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/24/2010
Last updated
09/23/2010
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