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Organization

PANTHER MEDICAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID RANDAZZO (OPERATIONS MANAGER)
(813) 639-9221
Entity
Organization

Contact information

Practice address
405 N REO ST, SUITE 100, TAMPA, FL 33609-1060
(813) 639-9221
(813) 288-9838
Mailing address
405 N REO ST, SUITE 100, TAMPA, FL 33609-1060
(813) 639-9221
(813) 288-9838

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
8510
FL

Other

Enumeration date
08/24/2005
Last updated
05/25/2016
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