Organization Name: | DURA MED SOUTHEAST, INC. |
NPI Number: | 1679519854 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACK R. FLOYD (PRESIDENT) |
Mailing Address: | 100 E Front St Evergreen |
State: | AL US |
Postal Code: | 364012927 |
Phone Number: | 2515781333 |
Fax Number: | 2515781333 |
NPI Enumeration Date: | 06/22/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 111970 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | AL |
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 |