Organization
GULF COAST SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MIDCLIFF (CO-OWNER)
(251) 645-2664
Entity
Organization
Contact information
Practice address
110 ZEIGLER CIRCLE EAST, MOBILE, AL 36608
(251) 645-2664
Mailing address
110 ZEIGLER CIRCLE EAST, MOBILE, AL 36608
(251) 645-2664
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
012077
AL
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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