Organization
EMERALD MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN TANNER (OWNER)
(727) 351-7058
Entity
Organization
Contact information
Practice address
19455 GULF BLVD STE 5, INDIAN SHORES, FL 33785-2000
(727) 351-7058
Mailing address
19455 GULF BLVD STE 5, INDIAN SHORES, FL 33785-2000
(727) 351-7058
(727) 509-3073
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
04/28/2018
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