Southeastern Medical Supply INC

NPI #1578568176 in Lakeland, Florida

Provider Information

NPI Number: 1578568176
Entity Type: Organization
Organization Name: Southeastern Medical Supply INC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Jun 20, 2005
Last Updated: Jun 28, 2016

Practice Location

Address: 3615 CENTURY BLVD
Address 2: UNIT #1
City: Lakeland
State: Florida
ZIP Code: 33811
Phone: (863) 965-8856

Authorized Official

Name: ELEANOR MARIE METHOT
Title: PRESIDENT
Phone: (863) 965-8856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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