Organization
ODESSA MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCO LOZANO (MEMBER)
(813) 789-1362
Entity
Organization
Contact information
Practice address
6614 THOROUGHBRED LOOP, ODESSA, FL 33556-1813
(813) 789-1362
Mailing address
6614 THOROUGHBRED LOOP, ODESSA, FL 33556-1813
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
272954
FL
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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