Organization
EXPRESS MEDICAL & NUTRITION SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK PICKENS (OWNER)
(813) 885-3444
Entity
Organization
Contact information
Practice address
6201 JOHNS RD, SUITE 4, TAMPA, FL 33634-4434
(813) 885-3444
(813) 885-1729
Mailing address
6201 JOHNS RD, SUITE 4, TAMPA, FL 33534
(813) 885-3444
(813) 885-1729
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3980120428317
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
3980120428317
FL
Other
Enumeration date
06/26/2006
Last updated
09/11/2025
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