Organization
COSTAL DURABLE MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLOR MENDOZA (CFO)
(407) 600-6199
Entity
Organization
Contact information
Practice address
3812 TOWNSHIP SQUARE BLVD, APT 412, ORLANDO, FL 32837-5380
(407) 600-6199
Mailing address
3812 TOWNSHIP SQUARE BLVD, APT 412, ORLANDO, FL 32837-5380
(407) 600-6199
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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