Winn Dixie Stores Inc in Lake City - Durable Medical Equipment & Medical Supplies

Winn Dixie Stores Inc - NPI 1497776793

Winn Dixie Stores Inc is a Durable Medical Equipment & Medical Supplies in Lake City, 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 1497776793. The last update date is 2016-06-24.

Winn Dixie Stores Inc's current location address is 580 S. Marion Avenue, Lake City, Florida. You can contact this provider via phone number 3867550997 and fax number 3867553192. The mailing address for Winn Dixie Stores Inc is 580 S. Marion Avenue, Lake City, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Winn Dixie Stores Inc
Address 580 S. Marion Avenue, Lake City, Florida
Phone Number 3867550997
Fax Number 3867553192
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Grimm M. Sandlin
Telephone Number 9047835578

NPI Number Detail

NPI Number 1497776793
Provider Enumeration Date 2006-07-21
Last Updated Date 2016-06-24

Provider Mailing Address Detail

Address 580 S. Marion Avenue
City Lake City
State Florida (FL)
Post Code 320255802
Phone Number 3867550997
Fax Number 3867553192

Provider's Primary Taxonomy Detail

Speciality Durable Medical Equipment & Medical Supplies
Taxonomy 332B00000X
Licence No PH9775
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
109601001 FL --
1058444 OTHER ID NUMBER
109601000 FL --

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FAQs about Winn Dixie Stores Inc

What is the unique provider identifier assigned to Winn Dixie Stores Inc?

The Winn Dixie Stores Inc has been issued the NPI (National Provider Identifier) 1497776793 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Winn Dixie Stores Inc?

The Winn Dixie Stores Inc is physically situated at 580 S. Marion Avenue, in the city of Lake City, state of FL, with the postal code 320255802.

What is Winn Dixie Stores Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Winn Dixie Stores Inc is Durable Medical Equipment & Medical Supplies, and the taxonomy classification code that categorizes this area of expertise is 332B00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1497776793 to Winn Dixie Stores Inc?

The Centers for Medicare & Medicaid Services assigned the 1497776793 to Winn Dixie Stores Inc 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 2016-06-24.

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