Organization
JACKSON HOSPITAL DME
Active
Other names
Raymond M Bleday, MD Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE R MEESE JR. CEO (ADMINISTRATOR)
(850) 526-2200
Entity
Organization
Contact information
Practice address
4295 3RD AVE, MARIANNA, FL 32446-2120
(850) 482-0017
(850) 482-0018
Mailing address
4250 HOSPITAL DR, MARIANNA, FL 32446-1917
(850) 526-2200
(850) 718-2894
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
08/29/2012
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