Organization
DIVERSIFIED MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD ASHTON (OWNER)
(407) 398-5561
Entity
Organization
Contact information
Practice address
478 E ALTAMONTE DR, SUITE 108, ALTAMONTE SPRINGS, FL 32701-4628
(407) 398-5561
(407) 332-8879
Mailing address
1880 DERBYSHIRE RD, MAITLAND, FL 32751-3447
(407) 398-5561
(407) 332-8879
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6980136513745
FL
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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