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Organization

JACKSON MEDICAL SUPPLY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NEELEY MATTHEWS (PRESIDENT)
(727) 754-3306
Entity
Organization

Contact information

Practice address
801 W BAY DR STE 515, LARGO, FL 33770-3220
(727) 754-3306
Mailing address
801 W BAY DR STE 515, LARGO, FL 33770-3220
(727) 754-3306

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
01/25/2018
Last updated
04/28/2018
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