Organization
MID FLORIDA MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY KNIGHT (OWNER)
(800) 422-2612
Entity
Organization
Contact information
Practice address
32641 RADIO RD, SUITE 101, LEESBURG, FL 34788-3978
(352) 728-1524
(352) 728-5142
Mailing address
32641 RADIO RD, SUITE 101, LEESBURG, FL 34788-3978
(352) 728-1524
(352) 728-5142
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022645900
—
FL
Enumeration date
11/18/2008
Last updated
11/18/2008
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