Organization Name: | NORTH FLORIDA MEDICAL CORP. |
NPI Number: | 1790839678 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SALVADOR ANTONIO PEREZ (PRESIDENT) |
Mailing Address: | 655 E Main St Lake Butler |
State: | FL US |
Postal Code: | 320541352 |
Phone Number: | 3864963656 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 05/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 32011614 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |