Organization Name: | MMELBARRY |
NPI Number: | 1184843864 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MALCOLM C BARRY (OWNER) |
Mailing Address: | 980 Del Mar Dr The Villages |
State: | FL US |
Postal Code: | 321597705 |
Phone Number: | 3524300535 |
Fax Number: | 3524300545 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 03/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 332BC3200X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |