Organization
MEDICAL AND RESPIRATORY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY BURDETT VORDTRIEDE RRT (GENERAL MANAGER)
(850) 533-6266
Entity
Organization
Contact information
Practice address
922 MAR WALT DR, SUITE 101, FORT WALTON BEACH, FL 32547-6630
(850) 862-6277
(850) 862-6279
Mailing address
922 MAR WALT DR, SUITE 101, FT. WALTON BEACH, FL 32457
(850) 862-6277
(850) 862-6279
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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