Organization Name: | GILLIGAN AND FERNEMAN LLC |
NPI Number: | 1235381682 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL STIG FERNEMAN (CO-OWNER) |
Mailing Address: | 7328 Thomas Dr Suite B Panama City Beach |
State: | FL US |
Postal Code: | 324087500 |
Phone Number: | 8505888695 |
Fax Number: | 8505888696 |
NPI Enumeration Date: | 10/16/2008 |
NPI Last Update Date: | 10/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |