Organization
MID FLORIDA MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY N KNIGHT (OWNER)
(800) 422-2612
Entity
Organization
Contact information
Practice address
2756 B ENTERPRISE ROAD, ORANGE CITY, FL 32763
(386) 774-1390
(386) 774-2346
Mailing address
2756 ENTERPRISE RD STE B, ORANGE CITY, FL 32763-8330
(386) 774-1390
(386) 774-2346
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022645900
—
FL
Enumeration date
11/18/2008
Last updated
11/18/2008
Update your record
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