Organization
GULF MEDICAL SERVICES. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH R STEBER (PRESIDENT)
(850) 438-7600
Entity
Organization
Contact information
Practice address
320 RACETRACK RD NE, FORT WALTON BEACH, FL 32547-2546
(850) 314-9955
(850) 314-9927
Mailing address
320 RACETRACK RD NE, FORT WALTON BEACH, FL 32547-2546
(850) 314-9955
(850) 314-9927
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1593
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
HME 1593
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028315100
—
FL
01
—
R002G
BCBS FL
FL
Enumeration date
10/04/2006
Last updated
03/11/2011
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