Organization Name: | GULFCOAST MEDICAL SUPPLY INC |
NPI Number: | 1316901259 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JON R DODDS (PRESIDENT) |
Mailing Address: | 2455 N Mcmullen Booth Rd Suite A Clearwater |
State: | FL US |
Postal Code: | 337591358 |
Phone Number: | 7277917404 |
Fax Number: | 7277122220 |
NPI Enumeration Date: | 04/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | HME 1411 |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |