Organization
BLUE LION, INC.
Active
Other names
Anderson Home Health Supply
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE PRATT (PRESIDENT)
(813) 289-3811
Entity
Organization
Contact information
Practice address
4063 HENDERSON BLVD, TAMPA, FL 33629-4939
(813) 289-3811
Mailing address
4063 HENDERSON BLVD, TAMPA, FL 33629-4939
(813) 289-3811
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1111
FL
Other
Enumeration date
07/09/2006
Last updated
01/27/2010
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