Organization
MIGUN OF THE BEACHES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A. FETTIG BS (PRESIDENT)
(904) 242-0800
Entity
Organization
Contact information
Practice address
363 ATLANTIC BLVD STE 12, ATLANTIC BEACH, FL 32233-5283
(904) 242-0800
(904) 242-0800
Mailing address
363 ATLANTIC BLVD STE 12, ATLANTIC BEACH, FL 32233-5283
(904) 242-0800
(904) 242-0800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
Update your record
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