Organization Name: | SOUTHEASTERN MEDICAL SUPPLY, INC. |
NPI Number: | 1578568176 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELE M FUCHS (CO-OWNER) |
Mailing Address: | 5918 State Road 542 W Winter Haven |
State: | FL US |
Postal Code: | 338805147 |
Phone Number: | 8639658856 |
Fax Number: | 8635511777 |
NPI Enumeration Date: | 06/20/2005 |
NPI Last Update Date: | 07/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |