Organization
NORTH FLORIDA MEDICAL SALES AND RENTALS OF GAINESVILLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SID DUANE RUSSELL (VP)
(352) 331-8088
Entity
Organization
Contact information
Practice address
3558 NW 97TH BLVD, GAINESVILLE, FL 32606-7323
(352) 331-8088
(352) 331-8087
Mailing address
3558 NW 97TH BLVD, GAINESVILLE, FL 32606-7323
(352) 331-8088
(352) 331-8087
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1312941
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0313050
—
FL
01
—
R9835
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/08/2006
Last updated
02/27/2019
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