Primecare Dme Supply INC

NPI #1033106208 in Sanford, Florida

Provider Information

NPI Number
1033106208
Entity Type
Organization
Organization Name
Primecare Dme Supply INC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Oct 4, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
333 GORDON ST
Address 2
SUITE A
State
Florida
ZIP Code
32771-6325
Phone
(407) 585-0393

Authorized Official

Name
MR. DALE A WALLACE
Title
PRESIDENT
Phone
(407) 585-0393

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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