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Organization

MEDEX7, INC.

Active
Other names
MED Services Network
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD E DI MOTTA (CEO)
(863) 680-1110
Entity
Organization

Contact information

Practice address
3238 S FLORIDA AVE, LAKELAND, FL 33803-4551
(863) 680-1110
(863) 680-3364
Mailing address
3238 S FLORIDA AVE, LAKELAND, FL 33803-4551
(863) 680-1110
(863) 680-3364

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
640
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050141300
US DEPT LABOR/BLACK LUNG
FL
01
103133
HEALTH PARTNERS HP
01
1523110
UNITED MINEWORKERS
FL
01
207578
AMERIGROUP FLORIDA INC
01
292214
BLUE CROSS PENNSYLVANIA
FL
05
951805300
FL
01
R8522
BLUE CROSS PROVIDER NUMBE
FL
01
Z45725
BLUE CROSS MASSACHUSETTS
FL
Enumeration date
10/12/2005
Last updated
05/18/2010
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