Organization
JDM MEDICAL,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK DONAHUE MCDONALD SR. (PRESIDENT)
(850) 995-0382
Entity
Organization
Contact information
Practice address
4562 CHUMUCKLA HWY, PACE, FL 32571-1004
(850) 995-0382
(850) 995-4116
Mailing address
4562 CHUMUCKLA HWY, PACE, FL 32571-1004
(850) 995-0382
(850) 995-4116
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/07/2009
Last updated
11/08/2012
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