Organization
COURAGE X
Active
Other names
Majors Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER L. REA (PRESIDENT)
(386) 822-9909
Entity
Organization
Contact information
Practice address
809 W NEW YORK AVE, DELAND, FL 32720-5226
(386) 822-9909
Mailing address
809 W NEW YORK AVE, DELAND, FL 32720-5226
(386) 822-9909
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
384313196
—
FL
05
—
950917800
—
FL
01
—
R8615
BCBS
FL
Enumeration date
07/17/2006
Last updated
05/27/2020
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