Organization Name: | DAYTONA PEOPLES MEDICAL SUPPLY |
NPI Number: | 1285704593 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADELANI ADEKUNLE (OWNER) |
Mailing Address: | 955 Orange Ave Suite 110 Daytona Beach |
State: | FL US |
Postal Code: | 321144675 |
Phone Number: | 3862588840 |
Fax Number: | 3862480699 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 03/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1312342 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |