Desoto Drug Store is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Lake City, Florida. It is situated at 297 N Marion Ave, Lake City and its contact number is 386-752-1793. The authorized person of Desoto Drug Store is Mr. Donald Ray Houston
who is President of the store and his/her contact number is 386-752-1793. Primary license number for Desoto Drug Store is PH630 in Florida. Desoto Drug Store is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Center Profile:
Desoto Drug Store Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Donald Ray Houston
Position:
President
Contact Number:
386-752-1793
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Desoto Drug Store center are as mentioned below.
NPI Number:
1467474411
NPI Enumeration Date:
25 Jul, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Desoto Drug Store are as mentioned below.
Specialization
License Number
State
Status
PH630
Florida
Primary
PH630
Florida
Secondary
PH630
Florida
Secondary
PH630
Florida
Secondary
PH630
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
AD2543242
Other
Dea
1052163
Other
Nabp
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Desoto Drug Store 297 N Marion Ave, Lake City, Florida
Zip:
32055-2866
Phone Number:
386-752-1793
Fax Number:
386-752-0611
Patients can reach Desoto Drug Store at 297 N Marion Ave, Lake City, Florida or can call to book an appointment on 386-752-1793. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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