Organization
HEARTLAND MEDICAL SUPPLY INC
Active
Other names
Heartland Pharmacy & Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E. DUNCAN R.PH. (PRESIDENT)
(863) 385-7673
Entity
Organization
Contact information
Practice address
204 US 27 S, LAKE PLACID, FL 33852-7900
(863) 465-0024
(863) 465-9656
Mailing address
6360 US HIGHWAY 27 N, SEBRING, FL 33870-1225
(863) 386-0081
(863) 385-5118
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH15581
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PH15581
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
PH15581
FL
335E00000X
Prosthetic/Orthotic Supplier
PH15581
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083663
NCPDP
FL
01
—
P7903
BCBS PROVIDER NUMBER
FL
Enumeration date
02/14/2007
Last updated
04/15/2008
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