Jim Wall

NPI #1013158831 in Tampa, Florida

Provider Information

NPI Number
1013158831
Entity Type
Individual
Name
Jim Wall
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 9, 2009
Last Updated
Mar 9, 2009

Practice Location

Address
6706 SEA ROBIN PL
City
Tampa
State
Florida
ZIP Code
33615-2548
Phone
(813) 758-0319

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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