Organization
QUALIMED RESPIRATORY AND MOBILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WILLIS (PRESIDENT)
(863) 293-3066
Entity
Organization
Contact information
Practice address
704 3RD ST SW, WINTER HAVEN, FL 33880-3418
(863) 293-3066
Mailing address
704 3RD ST SW, WINTER HAVEN, FL 33880-3418
(863) 293-3066
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HME611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021544900
—
FL
Enumeration date
04/20/2006
Last updated
02/20/2008
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