Organization
BAYVIEW MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH CHRYSOSTOME (OWNER)
(800) 982-9049
Entity
Organization
Contact information
Practice address
3700 34TH ST STE 302C, ORLANDO, FL 32805-6601
(800) 982-9049
(321) 250-5424
Mailing address
3700 34TH ST STE 302C, ORLANDO, FL 32805-6601
(800) 982-9049
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/17/2021
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