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Individual

MR. RALPH EDWARD PENDERGRAPH II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5230 N ORANGE BLOSSOM TRL, #306, ORLANDO, FL 32810-4769
(407) 926-5006
Mailing address
5230 N ORANGE BLOSSOM TRL, #306, ORLANDO, FL 32810-4769
(407) 926-5006

Taxonomy

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

Other

Enumeration date
05/10/2007
Last updated
07/08/2007
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