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Organization

MED PLUS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THEARON L SHIPMAN (PRESIDENT/OWNER)
(850) 226-6331
Entity
Organization

Contact information

Practice address
323 PAGE BACON RD, SUITE # 14, MARY ESTHER, FL 32569-1610
(850) 226-6331
(850) 226-6332
Mailing address
323 PAGE BACON RD, SUITE # 14, MARY ESTHER, FL 32569-1610
(850) 226-6331
(850) 226-6332

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1312903
FL

Other

Enumeration date
06/21/2006
Last updated
04/20/2010
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