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Organization

NORTH CENTRAL MEDICAL CORPORATION INC

Active
Other names
Diabetic Solutions Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JACK B THOMPSON III (CEO)
(352) 373-9656
Entity
Organization

Contact information

Practice address
4001 NEWBERRY RD, STE A2, GAINESVILLE, FL 32607-2358
(352) 373-9656
(352) 374-4136
Mailing address
PO BOX 142098, GAINESVILLE, FL 32614-2098
(352) 373-9656
(352) 374-4136

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009930935
AL
01
010070554
VIRGINIA MEDICAL ASSISTAN
VA
05
0440757
MS
05
1164348
LA
05
606429698A
GA
05
7703365
NC
01
DM1139
SOUTH CAROLINA MEDICAID P
SC
Enumeration date
01/03/2006
Last updated
10/08/2009
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