Organization
GRAHAM SEGO CORPORATION
Active
Other names
Segos Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. E. EUGENE SEGO (OWNER)
(321) 268-0179
Entity
Organization
Contact information
Practice address
355 CITRUS TOWER BLVD, SUITE 102, CLERMONT, FL 34711-6501
(352) 242-9004
(352) 242-9006
Mailing address
355 CITRUS TOWER BLVD, SUITE 102, CLERMONT, FL 34711-6501
(352) 242-9004
(352) 242-9006
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
321520
FL
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030871400
—
FL
Enumeration date
03/30/2007
Last updated
01/13/2011
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