Organization
HOME RUN MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
B SCOTT GORALNIK (CO-OWNER)
(386) 756-6344
Entity
Organization
Contact information
Practice address
1320 MASON AVE, DAYTONA BEACH, FL 32117-4504
(386) 756-6344
(386) 756-6667
Mailing address
1320 MASON AVE, DAYTONA BEACH, FL 32117-4504
(386) 756-6344
(386) 756-6667
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
04/20/2008
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