Organization
IMPACT MEDICAL SUPPLIES AND SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTANA LASHONDA WILLIAMS (FOUNDER)
(813) 316-8933
Entity
Organization
Contact information
Practice address
990 N MAIN ST, BUSHNELL, FL 33513-5008
(352) 569-1288
Mailing address
990 N MAIN ST, BUSHNELL, FL 33513-5008
(352) 569-1288
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
02/17/2026
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