Organization
AMERICAN HEALTH SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DODRIDGE EVERETTE SMITH (OWNER)
(772) 418-6412
Entity
Organization
Contact information
Practice address
1080 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-4778
(855) 760-8957
(888) 476-3461
Mailing address
1080 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-4778
(855) 760-8957
(888) 476-3461
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/24/2011
Last updated
06/15/2016
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