Organization
ADVANCED MEDICAL EQUIPMENT SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA MARIE MANNING (MGR)
(386) 804-0678
Entity
Organization
Contact information
Practice address
1001 KRISTEN LN, ORANGE CITY, FL 32763-3731
(386) 804-0678
Mailing address
1001 KRISTEN LN, ORANGE CITY, FL 32763-3731
(386) 804-0678
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
12/22/2007
Last updated
12/22/2007
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