Organization
CITRUS-BAY MEDICAL EQUIPMENTS L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIOLA OKUSANYA (OWNER)
(813) 943-1749
Entity
Organization
Contact information
Practice address
1318 E MARTIN LUTHER KING BLVD, TAMPA, FL 33603-4419
(813) 943-1749
Mailing address
8116 RIVERMONT WAY, TAMPA, FL 33637
(813) 943-1749
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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