Organization
UNITED OF ORMOND BEACH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP E BANE (PRESIDENT)
(386) 672-9530
Entity
Organization
Contact information
Practice address
880 AIRPORT RD, SUITE 111, ORMOND BEACH, FL 32174-4239
(386) 672-4996
(386) 677-8595
Mailing address
880 AIRPORT RD, SUITE 111, ORMOND BEACH, FL 32174-4239
(386) 672-4996
(386) 677-8595
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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