Winn Dixie Stores Inc in Jacksonville - Durable Medical Equipment & Medical Supplies
Winn Dixie Stores Inc - NPI 1104847409
Winn Dixie Stores Inc is a Durable Medical Equipment & Medical Supplies in Jacksonville, Florida. Winn Dixie Stores Inc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Winn Dixie Stores Inc is 1104847409. The last update date is 2016-07-28.
Winn Dixie Stores Inc's current location address is 5207 Normandy Blvd, Jacksonville, Florida. You can contact this provider via phone number 9047864639 and fax number 9047867406. The mailing address for Winn Dixie Stores Inc is 5207 Normandy Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Winn Dixie Stores Inc |
|---|---|
| Address | 5207 Normandy Blvd, Jacksonville, Florida |
| Phone Number | 9047864639 |
| Fax Number | 9047867406 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Grimm M. Sandlin |
| Telephone Number | 9047835578 |
NPI Number Detail
| NPI Number | 1104847409 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2016-07-28 |
Provider Mailing Address Detail
| Address | 5207 Normandy Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322054827 |
| Phone Number | 9047864639 |
| Fax Number | 9047867406 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | PH11576 |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101157001 | FL | -- | |
| 101115700 | FL | -- | |
| 1066718 | OTHER ID NUMBER |
Post Comment/ Review Below
What is the Winn Dixie Stores Inc's 1104847409?
The Winn Dixie Stores Inc's NPI (National Provider Identifier) Number is 1104847409. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Winn Dixie Stores Inc?
The Winn Dixie Stores Inc is physically situated at 5207 Normandy Blvd, in the city of Jacksonville, state of FL, with the postal code 322054827.
What is Winn Dixie Stores Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Winn Dixie Stores Inc's specialized field of practice is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this area of specialization is 332B00000X.
On what date did the Winn Dixie Stores Inc receive its 1104847409 assignment from the Centers for Medicare & Medicaid Services?
The Winn Dixie Stores Inc was assigned its 1104847409 by the Centers for Medicare & Medicaid Services on 2006-07-21.
When was the Winn Dixie Stores Inc's information last updated?
The Winn Dixie Stores Inc's information was last updated on 2016-07-28.