Organization Name: | HEARTLAND MEDICAL SUPPLY INC |
NPI Number: | 1457494155 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT E. DUNCAN (PRESIDENT) |
Mailing Address: | 204 Us 27 S Lake Placid |
State: | FL US |
Postal Code: | 338527900 |
Phone Number: | 8634650024 |
Fax Number: | 8634659656 |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 04/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | PH15581 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |