Organization
MERCY MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA M CHANG JACCOBI RN (EMPLOYEE)
(904) 476-3305
Entity
Organization
Contact information
Practice address
140 S ATLANTIC AVE STE 203, ORMOND BEACH, FL 32176-6653
(904) 476-3305
(904) 476-3305
Mailing address
PO BOX 491, PONTE VEDRA BEACH, FL 32004-0491
(904) 476-3305
(904) 476-3305
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
12/08/2025
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