Organization
TAYGAN HOME MEDICAL
Active
Other names
TAYGAN HOME MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WILLIE ADDISON (OWNER)
(904) 525-7778
Entity
Organization
Contact information
Practice address
3730 SOUTEL DR UNIT 2304, JACKSONVILLE, FL 32208-1286
(904) 525-7778
Mailing address
221 N HOGAN ST STE 532, JACKSONVILLE, FL 32202-4201
(904) 525-7778
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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