Organization
RACCOONPOSSUM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY LEE MABIE (PRESIDENT)
(407) 869-7323
Entity
Organization
Contact information
Practice address
100 ROCKINGHAM CT, LONGWOOD, FL 32779-4635
(407) 869-7323
Mailing address
100 ROCKINGHAM CT, LONGWOOD, FL 32779-4635
(407) 869-7323
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
08/22/2020
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