Organization
EMERALD COAST MEDICAL SUPPLIES LLC
Active
Other names
Emerald Coast Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
TARA FOSTER (OWNER)
(850) 687-7335
Entity
Organization
Contact information
Practice address
48 BALD EAGLE DRIVE, SANTA ROSA BEACH, FL 32459
(850) 687-7335
Mailing address
48 BALD EAGLE DRIVE, SANTA ROSA BEACH, FL 32459
(850) 687-7335
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
06/10/2013
Last updated
09/16/2019
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