Organization
ACTIVE MEDICAL SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED SCRAY (OWNER)
(386) 328-1093
Entity
Organization
Contact information
Practice address
310 S PALM AVE STE 5, PALATKA, FL 32177-4161
(386) 328-1093
(386) 328-1426
Mailing address
310 S PALM AVE STE 5, PALATKA, FL 32177-4161
(386) 328-1093
(386) 328-1426
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9736
BLUE CROSS
FL
Enumeration date
06/26/2006
Last updated
08/04/2008
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