Organization
MANATEE MEDICAL MANAGEMENT
Active
Other names
Wound Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALLAS HODD MOORHEAD III (PRESIDENT)
(888) 331-3531
Entity
Organization
Contact information
Practice address
4519 GEORGE RD, SUITE 145, TAMPA, FL 33634-7329
(888) 331-3531
(888) 498-3990
Mailing address
4519 GEORGE RD, SUITE 145, TAMPA, FL 33634-7329
(888) 331-3531
(888) 498-3990
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/24/2010
Last updated
08/26/2011
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