Organization
DURA-MED SOUTHEAST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK R FLOYD (PRESIDENT)
(850) 675-2448
Entity
Organization
Contact information
Practice address
5272 COMMERCE ST, JAY, FL 32565-1178
(850) 675-2448
(850) 675-3106
Mailing address
5272 COMMERCE ST, JAY, FL 32565-1178
(850) 675-2448
(850) 675-3106
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
40
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951087700
—
FL
01
—
R8207
JAYFL BLUE CROSS AND BLUE
FL
Enumeration date
08/30/2006
Last updated
02/18/2009
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