Scofa LLC
NPI #1376321083 in Crystal River, Florida
Provider Information
- NPI Number
- 1376321083
- Entity Type
- Organization
- Organization Name
- Scofa LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 15, 2023
- Last Updated
- Sep 15, 2023
Practice Location
- Address
- 6405 W GULF TO LAKE HWY
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-9354
- Phone
- (352) 527-6888
Authorized Official
- Name
- DACELIN ST MARTIN, MD
- Title
- OWNER
- Phone
- (352) 527-6888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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