Organization
MEDSOUTH MOBILITY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW GILLESPIE (PRES)
(386) 427-3490
Entity
Organization
Contact information
Practice address
309 NORMANDY AVE, NEW SMYRNA BEACH, FL 32169-2419
(386) 427-3490
Mailing address
309 NORMANDY AVE, NEW SMYRNA BEACH, FL 32169-2419
(386) 427-3490
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
JXOOO4690
FL
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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